Individual provider · Type 1 NPI

Timothy Mahoney, MSW, LICSW

Clinical Social Worker · Red Wing, MN

NPI number 1003850512 Active

Practice location

426 West Ave
Red Wing, MN 55066-2473

Call (651) 385-6180 Map

Fax (651) 385-6195

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X02502 (MN)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003850512

Timothy Mahoney, MSW, LICSW's National Provider Identifier is 1003850512, issued on Jun 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Red Wing, MN. The record was last updated on Jul 13, 2026.