Jodi Mollica LCSW LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

JODI MOLLICA LCSW LLC

Practice address

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

Phone

(248) 321-8684

NPI assigned

Nov 5, 2019

Organization subpart

No

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

Authorized official

Name

Jodi Mollica, LCSWNPI 1053954362

Title

Licensed Clinical Social Worker

Phone

(248) 321-8684

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jodi Mollica, LCSW

  • Clinical Social Worker
  • Royal Oak, MI
  • NPI 1053954362
  NPD Authorized official

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1114561941",
    "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": {
        "organization_name": "JODI MOLLICA LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "MOLLICA",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "248-321-8684",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "6801091687",
            "state": "MI"
        }
    ],
    "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": []
}

• Jessica Esker PLLC
• Jessica Horning LPC PLLC
• Aravindan Jeyarajasingam, MD
• Huiyan Jin
• Victoria Jin
• Joe Kort & Associates, P.C.
• Johanna E Champagne LLC
• John F Oleary PH.D.
• John H. Dickerson DC PC
• John Kitzmiller

• Clinic/Center in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Clinic/Center 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.