Provider Demographics
NPI:1225097645
Name:MCMAHON, KAREN H (LICSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:H
Last Name:MCMAHON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 N MAIN ST STE 304
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-4926
Mailing Address - Country:US
Mailing Address - Phone:978-500-1553
Mailing Address - Fax:
Practice Address - Street 1:18 N MAIN ST STE 304
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-4926
Practice Address - Country:US
Practice Address - Phone:978-500-1553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089.00853001041C0700X
NH12521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH14Y008393NH01OtherANTHEM ACES #
NH387286OtherMVP PIN
NH2231989OtherCIGNA BH PIN
NH3086788Medicaid
NHRE8355Medicare PIN
NH30423522Medicaid