National Provider Identifier
Rita M Mahon, LICSW
Rita M Mahon, LICSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Warsaw, NY and a listed phone number of (907) 830-3243.
Profile Overview
- NPI
- 1598079345
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- August 04, 2010
- Last Updated
- August 09, 2023
Practice Location
- 189 Wyoming St
- Warsaw, NY 14569-9580
Phone: (907) 830-3243
Specialties
- Clinical Social Worker (1041C0700X)
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1598079345
- Entity Type
- Individual
- Last Name
- Mahon
- First Name
- Rita
- Middle Name
- M
- Name Prefix
- MS.
- Credential
- LICSW
- Provider Other Last Name
- Mahon
- Provider Other First Name
- Rita
- Provider Other Middle Name
- Margaret
- Provider Other Credential Text
- LICSW
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 189 Wyoming St
- Mailing City
- Warsaw
- Mailing State
- NY
- Mailing ZIP Code
- 14569-9580
- Mailing Country
- US
- Mailing Phone
- (907) 830-3243
- Practice Street Address
- 189 Wyoming St
- Practice City
- Warsaw
- Practice State
- NY
- Practice ZIP Code
- 14569-9580
- Practice Country
- US
- Practice Phone
- (907) 830-3243
- Enumeration Date
- August 04, 2010
- Last Updated
- August 09, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- August 09, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Mental Health Counselor (101YM0800X)
- Other Identifiers
- MH2237 (AK)