# MR. VINCENT JOHN MCMAHON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1275818676
- **Gender:** Man
- **Credential:** LCSW, ICSW, CDS,CDP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CDP00186 | RI | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CDS00058 | RI | — |
| 1041C0700X | Clinical Social Worker | 008129 | CT | — |
| 1041C0700X | Clinical Social Worker | ISW02285 | RI | Yes |
| 1041C0700X | Clinical Social Worker | — | NULL | — |

## Other

- **Enumeration date:** 10/17/2011
- **Last updated:** 01/06/2025