Active NPI
Vincent John McMahon, LCSW, ICSW, CDS,CDP
- Clinical Social Worker
- Newport, RI
National Provider Identifier
1275818676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW02285
- Practice address
- 6 Park St
Newport, RI 02840-2104 - Phone
- (401) 855-1366
- NPI assigned
- Oct 17, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDS00058 | RI | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDP00186 | RI | |
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | 008129 | CT | |
| Clinical Social Worker | 1041C0700X | ISW02285 | RI | Primary |
Addresses
Primary practice location
6 Park St
Newport, RI 02840-2104
Mailing address
6 Park St
Newport, RI 02840-2104
Phone (401) 855-1366
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDP00186 | RI | MD | Addiction (Substance Use Disorder) Counselor |
| CDS00058 | RI | MD | Addiction (Substance Use Disorder) Counselor |
| 008129 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1275818676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 PARK ST",
"city": "NEWPORT",
"state": "RI",
"postal_code": "028402104",
"telephone_number": "401-855-1366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 PARK ST",
"city": "NEWPORT",
"state": "RI",
"postal_code": "028402104",
"telephone_number": "401-855-1366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHON",
"first_name": "VINCENT",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "LCSW, ICSW, CDS,CDP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-17",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "RI",
"license": "CDS00058",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "RI",
"license": "CDP00186",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "008129",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW02285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.