Molly Leigh Dietzler O'Brien, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW02668 Issued in RI

Practice address

1045 Warwick Ave
Suite 101
Warwick, RI 02888-3665

Phone

(401) 406-1205

Fax

(401) 270-0660

NPI assigned

Nov 1, 2016

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

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 and National Provider Directory roles.

• The Center for Change, LLC

  • Psychologist
  • Warwick, RI
  • NPI 1376892679

  Clinical

  NPD (past)

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1083166458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 WARWICK AVE",
            "address_2": "SUITE 101",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883665",
            "telephone_number": "401-406-1205",
            "fax_number": "401-270-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 WARWICK AVE",
            "address_2": "SUITE 101",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883665",
            "telephone_number": "401-406-1205",
            "fax_number": "401-270-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "MOLLY",
        "middle_name": "LEIGH DIETZLER",
        "name_prefix": "Miss",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nurturing Nutrition II, LLC
• Nutrition Solutions LLC
• Edwige Christelle Nzugang Noutonsi, MD
• Danielle Stephanie O'Brien, LCSW
• Erin E O'Brien
• Thomas O'Brien, M.D.
• Brooke Suzanne O'Connell, RPH
• Julie A. O'Connor, LICSW
• Laura O'Connors, DPT
• Madison Leigh O'Donnell, DO

• Clinical Social Worker in Warwick, RI
• Providers in Warwick, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.