Eileen Mahon, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

083109-1 Issued in NY

Practice address

250 W Main St
Bay Shore, NY 11706-8337

Phone

(631) 666-1951

NPI assigned

May 23, 2011

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

State licenses

Practice roles

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.

• Butterfly Clinical

  • Community/Behavioral Health Agency
  • Bayshore, NY
  • NPI 1932265683
  NPD (past)
• Butterfly Clinical Inc.

  • Clinical Social Worker
  • Bay Shore, NY
  • NPI 1184858441
  NPD (past)

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1831482918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MILLPOND RD",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822006",
            "telephone_number": "631-543-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068337",
            "telephone_number": "631-666-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHON",
        "first_name": "EILEEN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-23",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "082693",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083109-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Hilde Magliulo, DO
• Raymond Rocco Magliulo, DO
• Sheena Mahabeer, PHYSICIAN ASSISTANT
• Rose Marie Mahan
• Faria Mahjabin, MD
• Scott Maiman
• Main Street Medical, PC
• Joshua Maisonave
• Sumreen Majeed, M.D.
• Kathleen M. Makarius, PA

• Clinical Social Worker in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.