Individual provider Active NPI

Molly Tierson, LCSW

  • Clinical Social Worker
  • Boulder, CO
National Provider Identifier
1093605297
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09933672 Issued in CO
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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 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

LicenseStateTypeSpecialty
CSW.09933672COMDClinical 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.

Verify at the official NPI Registry.