Carly Jean Mahon

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

9295 Farnham St Ste 200
San Diego, CA 92123-1255

Phone

(619) 283-8100

NPI assigned

Dec 9, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Angels Foster Family Agency

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1902622798
  NPD

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1386450872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9295 FARNHAM ST STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9295 FARNHAM ST STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231255",
            "telephone_number": "619-283-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHON",
        "first_name": "CARLY",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vahid Mahmoudi, PHARM D
• Niki Mahmoudzadeh, DPT
• Ehtisham Mahmud, M.D.
• Jairus K Mahoe, PHARMD
• Amal Mahomed
• Joseph Vincent Mahon, DPT
• Michelle C Mahone, PH.D.
• Kathleen Lorraine Mahoney-Salajan
• Brendan Mahoney, RN
• Kaitlyn Mahoney, DPT

• Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.