Individual provider Active NPI

Thomas M O Mahony, LICSW

  • Clinical Social Worker
  • Hermitage, PA
National Provider Identifier
1811001845
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018922 Issued in PA
Practice address
50 Snyder Rd Ste 1
Hermitage, PA 16148-3432
Phone
(724) 877-8595
Fax
(724) 297-3131
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW018922 PA Primary

Addresses

Primary practice location

50 Snyder Rd Ste 1
Hermitage, PA 16148-3432

Mailing address

4002 Hermitage Hills Blvd Apt 10
Hermitage, PA 16148-3423
Phone (724) 877-8595

Other identifiers 3

IdentifierTypeStateIssuer
105191OtherUBH
1032387850003MedicaidPA
23165-3OtherBC BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas M O'Mahony, LCSW, LLC Clinical CurrentSince Feb 7, 2021 Accepting new patients
Liv Well Associates PastSince Apr 17, 2024 Accepting new patients

Locations

50 Snyder Rd
Ste 1
Hermitage, PA 16148
Phone (724) 877-8595

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1811001845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 HERMITAGE HILLS BLVD APT 10",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483423",
            "telephone_number": "724-877-8595",
            "fax_number": "724-297-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SNYDER RD STE 1",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483432",
            "telephone_number": "724-877-8595",
            "fax_number": "724-297-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O MAHONY",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "105191",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032387850003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "23165-3",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

Verify at the official NPI Registry.