Elizabeth Mahoney, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006680 Issued in VA

Practice address

4229 Lafayette Center Dr
Suite 1200
Chantilly, VA 20151-1261

Phone

(703) 378-1011

NPI assigned

Jan 6, 2012

Last updated

Jan 6, 2012By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1427328418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 ROCK CHAPEL RD",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201702038",
            "telephone_number": "571-226-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 LAFAYETTE CENTER DR",
            "address_2": "SUITE 1200",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511261",
            "telephone_number": "703-378-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M & M Patriots Non Emergency Medical Transportation
• Elaine Ma, PT,DPT
• Ashley Maag, M.S., PHD
• Shwetha Madyalamajalu
• Jeet K Mahil, DNP, FNP
• Mallory Mahoney
• Michelle Mahoney, LCSW
• Keisha Mainor-Richardson
• Lisa Kim Majete, MD
• Monique Major

• Clinical Social Worker in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.