Active NPI
Mary Mahoney, LCSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1295257327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 084917-1
- Practice address
- 116 Clinton St
Brooklyn, NY 11201-4204 - Phone
- (812) 887-5397
- NPI assigned
- Jul 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 084917-1 | NY | Primary |
Addresses
Primary practice location
116 Clinton St
Brooklyn, NY 11201-4204
Mailing address
116 Clinton St
Brooklyn, NY 11201-4204
Phone (347) 422-6828
Other practice location 1
9201 4th Ave
Brooklyn, NY 11209-7065
Phone (718) 748-1234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 084917-1 | Other | NY | NY DEPT OF STATE |
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 |
|---|---|---|---|
| 084917-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537747200000",
"number": "1295257327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 CLINTON ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112014204",
"telephone_number": "347-422-6828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 CLINTON ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112014204",
"telephone_number": "812-887-5397"
}
],
"practiceLocations": [
{
"address_1": "9201 4th Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112097065",
"country_code": "US",
"telephone_number": "718-748-1234",
"fax_number": "718-228-8819",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAHONEY",
"first_name": "MARY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-11",
"last_updated": "2018-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "084917-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY DEPT OF STATE",
"identifier": "084917-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.