Individual provider Active NPI

Charlotte Glenn Molali, LCSW

  • Clinical Social Worker
  • Brentwood, CA
National Provider Identifier
1053913251
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
117621 Issued in CA
Practice address
191 Sand Creek Rd
Brentwood, CA 94513-2215
Phone
(925) 663-8158
Fax
(925) 523-0916
NPI assigned
Nov 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 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 117621 CA Primary

Addresses

Primary practice location

191 Sand Creek Rd
Brentwood, CA 94513-2215

Mailing address

PO Box 1209
Brentwood, CA 94513-3209
Phone (259) 272-0707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
117621CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Minds Counseling Center, Licensed Clinical Social Worker, PC PastSince Aug 27, 2023 Accepting new patients
Ever After Individual and Family Therapy Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1053913251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1209",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945133209",
            "telephone_number": "259-272-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 SAND CREEK RD",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132215",
            "telephone_number": "925-663-8158",
            "fax_number": "925-523-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLALI",
        "first_name": "CHARLOTTE",
        "middle_name": "GLENN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "117621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.