Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathleen Patricia Mahoney, CSW

Individual provider Clinical Social Worker · NPI 1023051703

Kathleen Patricia Mahoney, CSW is a Clinical Social Worker in Jackson, Michigan. Qualified in 1995, 31 years ago. Practices with A Healing Place LLC, a 13-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
31
Licensed in
MI
In the registry since
2006
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Practice location Address checks out

205 N East Ave
Jackson, MI 49201-1753
Phone: (517) 788-4730
Fax: (517) 788-4701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801062703 (MI)

Record details

NPI number1023051703
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSW
Sole proprietorNo
NPI enumeratedJune 13, 2006
Last updated in NPPESAugust 17, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice A Healing Place Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Jackson