Organization Active NPI

Michelle Mahoney, LCSW LLC

  • Clinical Social Worker
  • Chantilly, VA
National Provider Identifier
1336008192
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MICHELLE MAHONEY, LCSW LLC
Practice address
4265 Brookfield Corporate Dr Unit D
Chantilly, VA 20151-1696
Phone
(540) 724-6116
NPI assigned
Jan 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Authorized official

Name
Michelle Mahoney, LCSWNPI 1730987983
Title
Owner/Therapist
Phone
(540) 724-6116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4265 Brookfield Corporate Dr Unit D
Chantilly, VA 20151-1696

Mailing address

6038 Smooth Stone PL
Haymarket, VA 20169-3310
Phone (540) 724-6116

National Provider Directory

National Provider Directory

Locations

4265 Brookfield Corporate Dr
#D
Chantilly, VA 20151
Phone (540) 724-6116

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1768780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1336008192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6038 SMOOTH STONE PL",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201693310",
            "telephone_number": "540-724-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4265 BROOKFIELD CORPORATE DR UNIT D",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511696",
            "telephone_number": "540-724-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE MAHONEY, LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-18",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "540-724-6116",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.