JENNIFER L MCMAHON (NPI# 1952454993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952454993 |
| Entity Type | Individual |
| Full Name | JENNIFER L MCMAHON |
| Other Name | JENNIFER KLYBERG |
| Credential | LICSW |
| Practice Address |
635 Main St Middletown CT 06457-2718 |
| Mailing Address |
635 Main St Attn: Credentialing Dpt Middletown CT 06457-2718 |
| Practice Telephone | 8603476971 |
| Practice Fax Number | 8607048034 |
| Mailing Telephone | 8603476971 |
| Mailing Fax Number | 8606386601 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2011-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 007533 | CT | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | ISW01628 | RI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 00426338 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184087892 | Jennifer Mcmahon | Student in an Organized Health Care Education/Training Program | 720 Harrison Ave Ste 7600, Boston, MA 02118-2334 | 2016-03-30 |
| 1063809960 | Jennifer Mcmahon | Social Worker | 22 Southgate Rd, Franklin, MA 02038-2747 | 2015-04-20 |
| 1710285457 | Jennifer Mcmahon | Massage Therapist | 354 Bell Hill Rd, Otisfield, ME 04270-6613 | 2011-03-04 |
| 1972140549 | Jennifer Mcmahon | Case Manager/Care Coordinator | 600 Arthur St, Knoxville, TN 37921-6405 | 2019-12-03 |
| 1215391735 | Jennifer Ann Mcmahon | Behavioral Analyst | 6704 Central Blvd, Zionsville, IN 46077-7600 | 2016-04-11 |
| 1073901690 | Jennifer Lynn Mcmahon | Nurse Practitioner | 9200 W Wisconsin Ave, Suite 5200, Milwaukee, WI 53226-3522 | 2015-01-05 |
| 1417252701 | Jennifer Mcmahon | Physical Therapist | 85 Sierra Park Rd, Mammoth Lakes, CA 93546-0660 | 2011-01-18 |
| 1154639094 | Jennifer Anne Mcmahon | Pharmacist | 5000 South Fifth Avenue, Pharmacy Service (119), Hines, IL 60141 | 2010-09-14 |
| 1780754648 | Jennifer L. Mcmahon | Registered Nurse | 9730 Healthway Drive, Berlin Health Center, Berlin, MD 21811 | 2006-11-08 |
| 1376507004 | Jennifer Mcmahon | Physical Therapist | 1400 Locust St, Pittsburgh, PA 15219-5114 | 2006-04-12 |
| Street Address |
635 MAIN ST |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144226390 | R. Timothy Kearney | Psychologist | 635 Main St, Middletown, CT 06457-2718 | 2005-06-22 |
| 1750842555 | Shannon Katherine Rouse | Marriage & Family Therapist | 635 Main St, Middletown, CT 06457-2718 | 2019-03-26 |
| 1316489313 | Maria Teresa Machado | Dental Hygienist | 635 Main St, Middletown, CT 06457-2718 | 2016-11-08 |
| 1528518693 | Tara Nicole Tremblay | Dental Hygienist | 635 Main St, Attn: Credentialing Dpt, Middletown, CT 06457-2718 | 2016-10-12 |
| 1982960431 | Mandy Sullivan | Counselor | 635 Main St, Middletown, CT 06457-2718 | 2012-04-10 |
| 1083980957 | Christine Foley | Psychologist | 635 Main St, Middletown, CT 06457-2718 | 2012-03-26 |
| 1437435419 | Sandra Dawn Fomenko | Nurse Practitioner | 635 Main St, Middletown, CT 06457-2718 | 2011-10-22 |
| 1770814105 | Luz Hago | Dietitian, Registered | 635 Main St, Middletown, CT 06457-2718 | 2010-01-25 |
| 1598092561 | Julie B Nash | Psychologist | 635 Main St, Middletown, CT 06457-2718 | 2009-11-11 |
| 1073761821 | Nancy Trouern Trend | Registered Nurse | 635 Main St, Middletown, CT 06457-2718 | 2008-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1760095749 | Gianna Rose Natale | Social Worker | 406 E Main St Fl 2, Middletown, NY 10940-2516 | 2020-08-28 |
| 1487263612 | Kate G Witt | Social Worker | 555 Scotchtown Collabar Rd, Middletown, NY 10941-3634 | 2020-07-23 |
| 1982212999 | Prianca Moghe | Social Worker | 12 Hartshorne Pl, Middletown, NJ 07748-2506 | 2020-07-15 |
| 1861010050 | Joshua Myers | Social Worker | 1155 N Union St, Middletown, PA 17057-1448 | 2020-07-14 |
| 1053939702 | Marie Guirlene Petion | Social Worker | 292 Carter Dr Ste A&b, Middletown, DE 19709-5846 | 2020-07-09 |
| 1780238220 | Angela Mayo | Social Worker | 24 Union Street, Middletown, NY 10940 | 2019-08-01 |
| 1720648645 | Tyrone F Callahan | Social Worker | 2692 Riverchase Dr, Middletown, OH 45042-2566 | 2019-06-13 |
| 1033674593 | Lauren Cooper | Social Worker | 20 Tuttle Pl Ste 4, Middletown, CT 06457-1870 | 2019-02-08 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
Please comment or provide details below to improve the information on JENNIFER L MCMAHON.
| 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.