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

Individual provider Clinical Social Worker · NPI 1124390869

Victoria Mahboub, LCSW is a Clinical Social Worker in Kenosha, Wisconsin. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
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

6014 41st Ave
Kenosha, WI 53142-7025
Phone: (262) 818-3531
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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 149.012721 (IL)

Record details

NPI number1124390869
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 26, 2012
Last updated in NPPESJanuary 26, 2012

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