Provider Demographics
NPI:1437816378
Name:MCMAHON, MARY FRANCES (LCSW)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:FRANCES
Last Name:MCMAHON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:FRANCES
Other - Last Name:KELNHOFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:509 WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-8018
Mailing Address - Country:US
Mailing Address - Phone:516-946-3464
Mailing Address - Fax:
Practice Address - Street 1:509 WILLOW ST
Practice Address - Street 2:
Practice Address - City:SOUTH HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-8018
Practice Address - Country:US
Practice Address - Phone:516-946-3464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-28
Last Update Date:2021-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0703481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical