Molly Elizabeth Noyes, LCSW

Individual provider Active NPI Clinical Social Worker · Beale Afb, CA

NPI 1063889780 · NPPES record last updated Jan 16, 2024

Key facts

NPI
1063889780
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
91747 (CA)
Practice address
15301 Warren Shingle Rd
Beale Afb, CA 95903-1905
Phone
(530) 632-8613
NPI assigned
Aug 28, 2015
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
91747CAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 91747 CA Yes

Addresses

Primary practice location

15301 Warren Shingle Rd
Beale Afb, CA 95903-1905

Mailing address

15301 Warren Shingle Rd
Beale Afb, CA 95903-1905

Other names

  • Miss Molly Elizabeth Shipley Former name

Other providers in Beale Afb, CA

All providers in Beale Afb, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.