Healthcare Provider Details

I. General information

NPI: 1376229898
Provider Name (Legal Business Name): DANIEL F MAWHINNEY LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2023
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 CELEBRATION BLVD STE 405
CELEBRATION FL
34747-5165
US

IV. Provider business mailing address

1530 CELEBRATION BLVD STE 405
CELEBRATION FL
34747-5165
US

V. Phone/Fax

Practice location:
  • Phone: 833-769-3524
  • Fax: 321-233-9959
Mailing address:
  • Phone: 833-769-3524
  • Fax: 321-233-9959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW18553
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: