Healthcare Provider Details

I. General information

NPI: 1104752880
Provider Name (Legal Business Name): JUDITH MAHONEY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 E LANCASTER AVE
DOWNINGTOWN PA
19335-2719
US

IV. Provider business mailing address

721 E LANCASTER AVE
DOWNINGTOWN PA
19335-2719
US

V. Phone/Fax

Practice location:
  • Phone: 484-237-1853
  • Fax: 484-237-1426
Mailing address:
  • Phone: 484-237-1853
  • Fax: 484-237-1426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW027461
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: