Individual provider Active NPI

Molly Elizabeth Haak

  • Clinical Social Worker
  • Flagstaff, AZ
National Provider Identifier
1043761067
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16386 Issued in AZ
Practice address
320 N Leroux St Ste C
Flagstaff, AZ 86001-4535
Phone
(289) 864-7250
NPI assigned
Oct 14, 2016
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16386 AZ Primary

Addresses

Primary practice location

320 N Leroux St Ste C
Flagstaff, AZ 86001-4535

Mailing address

7349 Dorsey Way
Flagstaff, AZ 86001-0865
Phone (928) 864-7250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161102001989 AZ Practitioner - Clinical Social Worker 8426336025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guidance Center, Inc.Group PAC ID 0143132076, 18 clinicians

Practice addresses (Care Compare)

2187 N Vickey St
Flagstaff, AZ 86004-6121
Phone (928) 527-1899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16386AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Guidance Center Inc CurrentSince Mar 11, 2020 Accepting new patients
Horizon Health and Wellness, Inc. Current Accepting new patients
Guidance Center Inc Current Accepting new patients
Horizon Health and Wellness, Inc. CurrentSince Oct 1, 2016 Accepting new patients
Rising Lotus Healing LLC CurrentSince Mar 6, 2024 Accepting new patients
Guidance Center Inc CurrentSince Mar 11, 2020 Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients

Locations

625 N Plaza Dr
Apache Junction, AZ 85120
Phone (480) 282-6278

210 E Cottonwood Ln
Casa Grande, AZ 85122
Phone (520) 836-1688

2187 N Vickey St
Flagstaff, AZ 86004
Phone (928) 527-1899

320 N Leroux St
Ste C
Flagstaff, AZ 86001
Phone (928) 457-2727

22713 S Ellsworth Rd
Ste 101
San Tan Valley, AZ 85142
Phone (480) 474-5670

3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335

Interoperability endpoints

  • Direct secure messaging: molly.haak.p1@direct.tgcaz.nextgenshare.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1043761067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7349 DORSEY WAY",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860010865",
            "telephone_number": "928-864-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N LEROUX ST STE C",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014535",
            "telephone_number": "289-864-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAK",
        "first_name": "MOLLY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "16386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.