Ivy Smith Macmahon, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

106260 Issued in MA

Practice address

852 Tucker Rd
Dartmouth, MA 02747-3531

Phone

(508) 984-7273

NPI assigned

Jan 21, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1417288044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 TUCKER ROAD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "02747",
            "telephone_number": "508-984-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 TUCKER RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027473531",
            "telephone_number": "508-984-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACMAHON",
        "first_name": "IVY",
        "middle_name": "SMITH",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "106260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Naomi Macdougall, CERTIFIED NURSE PRAC
• Andrew Paul Macedo, MA BLS
• Bethany Macedo, ATC
• Sara Mackinstry
• Stephen Mackler, M.D.
• Lauren Macmurray
• Elizabeth Macomber, RPH
• Kristen E Madden, NP
• Maxwell Magalhaes
• Sharon T. Magliozzi

• Clinical Social Worker in Dartmouth, MA
• Providers in Dartmouth, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.