Individual provider Active NPI

Christine McMahon, LCSW; LICSW

  • Clinical Social Worker
  • Lacey, WA
National Provider Identifier
1144500182
Registry record updated Jul 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
078008 Issued in NY
Practice address
7031 Mullen Rd SE
Lacey, WA 98503-4580
Phone
(516) 312-9939
NPI assigned
Aug 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW61410349 WA
Clinical Social Worker 1041C0700X 078008 NY Primary

Addresses

Primary practice location

7031 Mullen Rd SE
Lacey, WA 98503-4580

Mailing address

7031 Mullen Rd SE
Lacey, WA 98503-4580
Phone (516) 312-9939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111110000453 NY Practitioner - Clinical Social Worker 4880868793 Reassigns benefits to 1 organization
I20240816003233 WA Practitioner - Clinical Social Worker 4880868793 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BMSC Az LLCGroup PAC ID 4385929173, 130 clinicians

Practice addresses (Care Compare)

Cambria Heights, NY 11411
Phone (718) 419-3416

Leavenworth, WA 98826
Phone (509) 433-7698

Hospital & facility affiliations

  • Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW61410349WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
BMSC Az LLC Clinical CurrentSince Jul 25, 2024 Accepting new patients
Harbor Youth and Family Counseling CurrentSince Aug 1, 2024 Accepting new patients

Locations

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462

221 W Wynooche Ave
Unit B
Montesano, WA 98563
Phone (360) 280-4969

16000 Christensen Rd
Ste 200
Tukwila, WA 98188
Phone (833) 719-0886

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722124800000",
    "number": "1144500182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7031 MULLEN RD SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985034580",
            "telephone_number": "516-312-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7031 MULLEN RD SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985034580",
            "telephone_number": "516-312-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "LCSW; LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2024-07-28",
        "certification_date": "2024-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61410349",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

Verify at the official NPI Registry.