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

Timothy McMahon, LCSW, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1972209872

Timothy McMahon, LCSW, SAC-IT is an Addiction (Substance Use Disorder) Counselor in Little Chute, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2023
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

900 Wisconsin Ct
Little Chute, WI 54140-2246
Phone: (920) 205-0088
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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 9396-123 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 20042-130 (WI)

Record details

NPI number1972209872
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , SAC-IT
Sole proprietorYes
NPI enumeratedFebruary 1, 2023
Last updated in NPPESFebruary 1, 2023
Certification dateFebruary 1, 2023

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