Active NPI
Mia Nicole McMahon
- Clinical Social Worker
- Kalamazoo, MI
National Provider Identifier
1699655753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 4341 S Westnedge Ave Ste 1112
Kalamazoo, MI 49008-3283 - Phone
- (269) 615-7637
- NPI assigned
- Sep 8, 2025
- Sex
- Female
- Sole proprietor
- No
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 | MI | Primary |
Addresses
Primary practice location
4341 S Westnedge Ave Ste 1112
Kalamazoo, MI 49008-3283
Mailing address
3411 Willow Lake Dr Apt 209
Kalamazoo, MI 49008-2679
Phone (248) 732-9694
Other names 1
- Mickey McMahon
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kalamazoo Child and Family Counseling, PLLC | Clinical | Current | Accepting new patients |
Locations
4341 S Westnedge Ave
Ste 1112
Kalamazoo, MI 49008
Phone (269) 615-7637
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Kalamazoo, MI
- NPI 1194692335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1699655753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3411 WILLOW LAKE DR APT 209",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490082679",
"telephone_number": "248-732-9694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4341 S WESTNEDGE AVE STE 1112",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490083283",
"telephone_number": "269-615-7637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHON",
"first_name": "MIA",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-08",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICKEY",
"last_name": "MCMAHON",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.