Provider Demographics
NPI:1609015817
Name:MAHONEY, LINDSAY (CSW)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:MAHONEY
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:PEARS-DICKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:11344 COLOMA RD STE 709
Mailing Address - Street 2:
Mailing Address - City:GOLD RIVER
Mailing Address - State:CA
Mailing Address - Zip Code:95670-4464
Mailing Address - Country:US
Mailing Address - Phone:916-459-4604
Mailing Address - Fax:
Practice Address - Street 1:11344 COLOMA RD STE 709
Practice Address - Street 2:
Practice Address - City:GOLD RIVER
Practice Address - State:CA
Practice Address - Zip Code:95670-4464
Practice Address - Country:US
Practice Address - Phone:916-459-4604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-11
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS252781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical