Molly Maxine Moerman, LLBSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6802089156 Issued in MI

Practice address

1102 Mackin Rd
Flint, MI 48503-1204

Phone

(810) 257-3705

NPI assigned

May 18, 2018

Last updated

May 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genesee Health System

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Flint, MI
  • NPI 1043554348
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1023509650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2446 E DODGE RD",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484209748",
            "telephone_number": "810-853-7096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 MACKIN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485031204",
            "telephone_number": "810-257-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOERMAN",
        "first_name": "MOLLY",
        "middle_name": "MAXINE",
        "name_prefix": "Miss",
        "credential": "LLBSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802089156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043554348",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane Allison Moats
• Caitlin Laura Moberg, M.A. CF SLP
• Mobile Ultrasound LLC (Mobile Ultrasound of Flint)
• Imad Salah Modawi, M.D.
• Usha R Modi, MD
• Alyssia Nicole Moffett
• Osman Mustafa Mohamed-Saeed, MD
• Mohamed Mohamed
• Mousa S Mohamed, M.D.
• Robin George Mohamedally I, DDS

• Social Worker in Flint, MI
• Providers in Flint, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.