Individual provider · Type 1 NPI

Kathleen Patricia Mahoney, CSW

Clinical Social Worker · Jackson, MI

NPI number 1023051703 Active

Practice location

205 N East Ave
Jackson, MI 49201-1753

Fax (517) 788-4701

Mailing address

Department 272801, PO Box 67000
Detroit, MI 48267-2728

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801062703 (MI)

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 1023051703

Kathleen Patricia Mahoney, CSW's National Provider Identifier is 1023051703, issued on Jun 13, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jackson, MI. The record was last updated on Aug 17, 2017.