Active NPI
Bridget Mahoney, LCSW
- Clinical Social Worker
- Saipan, MP
National Provider Identifier
1033728779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC50078831
- Practice address
- Marina Heights
Blding II - Suite 206
Saipan, MP 96950 - Phone
- (670) 322-0035
- Fax
- (670) 322-0038
- NPI assigned
- Jul 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC50078831 | DC | Primary |
Addresses
Primary practice location
Marina Heights
Blding II - Suite 206
Saipan, MP 96950
Mailing address
PO Box 500938
Saipan, MP 96950-0938
Phone (670) 322-0035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC50078831 | DC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595980800000",
"number": "1033728779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 500938",
"city": "SAIPAN",
"state": "MP",
"postal_code": "969500938",
"telephone_number": "670-322-0035",
"fax_number": "670-322-0038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MARINA HEIGHTS",
"address_2": "BLDING II - SUITE 206",
"city": "SAIPAN",
"state": "MP",
"postal_code": "96950",
"telephone_number": "670-322-0035",
"fax_number": "670-322-0038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHONEY",
"first_name": "BRIDGET",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-29",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50078831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saipan, MP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.