MR. JOHN BRIAN MAHONEY (NPI# 1528385101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528385101 |
| Entity Type | Individual |
| Full Name | MR. JOHN BRIAN MAHONEY |
| Credential | LCSW |
| Practice Address |
467 Springfield Ave Summit NJ 07901-2622 |
| Practice Telephone | 2019780395 |
| Mailing Telephone | 2019780395 |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2012-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC05503500 | NJ | Behavioral Health & Social Service Providers |
| N | 1041S0200X |
Social Worker Specialization: School |
44SL05514900 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0021806 | 05 | |
| NJ | MEDICARE | BA526562 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669711743 | John J. Mahoney Jr. | Counselor | 325 Franklin St, Manchester, NH 03101-1904 | 2013-02-08 |
| 1467514646 | John Todd Mahoney | Optometrist | 3726 Avenue D, Scottsbluff, NE 69361-4665 | 2006-12-14 |
| 1265509541 | John Gerard Mahoney | Physical Therapist | 86 Se 4th Ave, Delray Beach, FL 33483-4514 | 2006-11-29 |
| 1922197169 | John T. Mahoney | Dentist | 2117 Old Jeanerette Rd, New Iberia, LA 70563-2910 | 2006-10-12 |
| 1811907736 | John J. Mahoney II | Chiropractor | 1536 Capitol Trl, Newark, DE 19711-5716 | 2006-08-09 |
| 1578544912 | John S Mahoney | Orthopaedic Surgery | 109 Bridge Street Suite 300, Danville, VA 24541-1222 | 2005-11-11 |
| 1144616459 | John Ryan Mahoney | Orthopaedic Surgery | 328 Thomas More Pkwy, Crestview Hills, KY 41017-3488 | 2015-04-13 |
| 1821122490 | John C Mahoney | Physical Therapist | 3104 Lord Baltimore Dr, Suite 100, Baltimore, MD 21244-2898 | 2007-03-15 |
| 1396889143 | John Michael Mahoney | Psychologist | 2640 Breslauer Way, Redding, CA 96001-4246 | 2007-02-16 |
| 1730223512 | John D Mahoney | Internal Medicine | 2345 Bent Way, Longmont, CO 80501-7614 | 2007-02-16 |
| Street Address |
467 SPRINGFIELD AVE |
| City | SUMMIT |
| State | NJ |
| Zip Code | 07901-2622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053344747 | Sharon Ruth Shrensel | Psychologist | 467 Springfield Ave, Summit, NJ 07901 | 2006-07-08 |
| 1043414469 | Julia F Fox | Social Worker | 467 Springfield Ave, Ste 203-204, Summit, NJ 07901-2622 | 2007-06-11 |
| 1316159866 | Juliane Janis Zenn | Psychologist | 467 Springfield Ave, Summit, NJ 07901-2622 | 2007-05-05 |
| 1730242496 | Cornelius Joseph Mahoney | Psychologist | 467 Springfield Ave, Summit, NJ 07901-2622 | 2006-12-17 |
| 1780617472 | Charles Ian Zadikow | Psychologist | 467 Springfield Ave, Summit, NJ 07901 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790242212 | Elizabeth Russo Putnam | Occupational Therapist | 88 Mountain Ave, Summit, NJ 07901 | 2019-02-21 |
| 1821536152 | Nyree Tchalikian | Social Worker | 467 Springfield Avenue, Suites 201-202, Summit, NJ 07901 | 2017-02-07 |
| 1891149050 | Trucare Homehealth Services, Inc | Health Maintenance Organization | 86 Summit Ave Suite Ll200, Summit, NJ 07901 | 2016-04-14 |
| 1043672975 | Brendan P. Mccollum, Md LLC | Clinic/Center | 33 Overlook Rd., Suite 210, Summit, NJ 07901 | 2016-03-21 |
| 1972917086 | Family and Sports Medicine Institute of New Jersey LLC | Physical Medicine & Rehabilitation | 33 Upper Overlook Rd, Suite 305, Summit, NJ 07901 | 2014-06-17 |
| 1639589666 | Adonis Cheng | Physician Assistant | Overlook Medical Center, 99 Beauvoir Avenue, Summit, NJ 07901 | 2014-04-29 |
| 1932542693 | Brian Patrick Thornton Jr. | Counselor | 33 Upper Overlook Road, Suite 210, Summit, NJ 07901 | 2013-04-12 |
| 1285977371 | Rehab Universe, LLC | Clinic/Center | 137 Springfield Ave, 2nd Floor, Summit, NJ 07901 | 2013-03-27 |
| 1568702348 | Summit Board of Education | Local Education Agency (LEA) | 14 Beekman Terrace, Summit, NJ 07901 | 2013-02-15 |
| 1538418082 | Dana N Cohen | Psychologist | 86 Summit Avenue, Summit Psychological Services, Summit, NJ 07901 | 2012-08-30 |
| Find all providers in zip 07901 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780297 | Caroline Pence | Social Worker | 38 Waldron Ave, Summit, NJ 07901-2806 | 2020-11-02 |
| 1215577606 | Lorena Z Donovan | Social Worker | 467 Springfield Ave Ste 203-204, Summit, NJ 07901-2622 | 2020-01-13 |
| 1063985679 | South Orange Blossoms, LLC | Social Worker | 467 Springfield Ave Ste 205, Summit, NJ 07901-2622 | 2019-01-07 |
| 1306330956 | Deborah M Ferraro | Social Worker | 2 Walnut Street, Summit, NJ 07901-3533 | 2018-06-18 |
| 1477081289 | Laura Woolfson, LLC | Social Worker | 47 Maple St Ste L-23, Summit, NJ 07901-2571 | 2017-05-24 |
| 1821536152 | Nyree Tchalikian | Social Worker | 467 Springfield Avenue, Suites 201-202, Summit, NJ 07901 | 2017-02-07 |
| 1730554593 | Nellie Stewart | Social Worker | 19 Cromwell Pkwy, Summit, NJ 07901-1726 | 2015-12-04 |
| 1831568401 | Crystal Epps | Social Worker | 74550 W 63rd Street, Summit, IL 60501 | 2015-09-24 |
| 1437433059 | Risa L Simpson-davis | Social Worker | 46 Beauvoir Ave, Summit, NJ 07902-3568 | 2011-09-30 |
| 1437323193 | Lisa Sherer | Social Worker | 10 Joanna Way, Summit, NJ 07901-3111 | 2008-04-14 |
| Find all providers in SUMMIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.