Active NPI
Molly Tierson, LCSW
- Clinical Social Worker
- Boulder, CO
National Provider Identifier
1093605297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09933672
- Practice address
- 4730 Table Mesa Dr Ste C-100
Boulder, CO 80305-5560 - Phone
- (720) 295-4643
- NPI assigned
- Jul 8, 2025
- Last updated
- Aug 18, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW.09933672 | CO | Primary |
Addresses
Primary practice location
4730 Table Mesa Dr Ste C-100
Boulder, CO 80305-5560
Mailing address
1312 17TH St # 350
Denver, CO 80202-1508
Other practice location 1
2995 Baseline Rd
Boulder, CO 80303-2318
Phone (720) 295-4643
Other practice location 2
121 Acoma St
Denver, CO 80223-1429
Phone (720) 799-8353
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
| License | State | Type | Specialty |
|---|---|---|---|
| CSW.09933672 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1093605297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1312 17TH ST # 350",
"city": "DENVER",
"state": "CO",
"postal_code": "802021508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4730 TABLE MESA DR STE C-100",
"city": "BOULDER",
"state": "CO",
"postal_code": "803055560",
"telephone_number": "720-295-4643"
}
],
"practiceLocations": [
{
"address_1": "2995 Baseline Rd",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803032318",
"country_code": "US",
"telephone_number": "720-295-4643",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "121 Acoma St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802231429",
"country_code": "US",
"telephone_number": "720-799-8353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIERSON",
"first_name": "MOLLY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-08",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09933672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.