Jodi Mollica, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801091687 Issued in MI

Practice address

628 E Parent Ave Ste 506
Royal Oak, MI 48067-3768

Phone

(248) 321-8684

NPI assigned

Oct 21, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Jodi Mollica LCSW LLC

  • Clinic/Center
  • Royal Oak, MI
  • NPI 1114561941
  NPD Authorized official

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1053954362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 MOHAWK AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673330",
            "telephone_number": "248-321-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 E PARENT AVE STE 506",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673768",
            "telephone_number": "248-321-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLICA",
        "first_name": "JODI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "office",
            "affiliation": "N",
            "address_1": "628 E Parent Ave Ste 506",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480673768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ushanandhani Mohanraj, TLLP
• Ashlee Mohaske
• Naushaba Mohiuddin, MD
• Zaid Mohsen, MD
• Tudor Dan Moldovan, MD
• Mary Katherine Molloy, MA CCC-SLP
• Olga Molodtsova, MASSAGE THERAPIST
• Syena Moltaji, MD, FRCSC
• Mary Nicole Monahan
• Madalyn Monchnik

• Clinical Social Worker in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.