Individual
HEATHER CHRISTINE MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW-C
Contact information
Practice address
22106 MELROSE CT, EASTPOINTE, MI 48021-2400
(313) 300-3351
Mailing address
22106 MELROSE CT, EASTPOINTE, MI 48021-2400
(313) 300-3351
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801120751
MI
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
LICENSURE BOARD
OH
01
—
6801120751
LMSW-C
MI
Enumeration date
06/22/2018
Last updated
03/18/2026
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