Active NPI
Molly Grant, MSW, LISW-S
- Clinical Social Worker
- Centerville, OH
National Provider Identifier
1164908166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PO12133
- Practice address
- 175 S Main St
Centerville, OH 45458-2372 - Phone
- (937) 434-0540
- Fax
- (937) 434-6726
- NPI assigned
- Jul 13, 2018
- 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 | PO12133 | NC | Primary |
Addresses
Primary practice location
175 S Main St
Centerville, OH 45458-2372
Mailing address
243 Orville St Apt 11
Fairborn, OH 45324-2941
Phone (508) 562-0491
Other practice location 1
2505 Court Dr
Gastonia, NC 28054-2140
Phone (704) 854-4196
Other practice location 2
2505 Court Dr
Gastonia, NC 28054-2140
Phone (704) 854-4196
Other practice location 3
8809 Cincinnati Dayton Rd
West Chester, OH 45069-3134
Phone (513) 360-8205
Other practice location 4
409 S Oakland St
Gastonia, NC 28052
Phone (704) 874-9005
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO12133 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul D Entner | Past | Accepting new patients | |
| Catalyst Counseling LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Centerville, OH
- NPI 1720184609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1164908166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 ORVILLE ST APT 11",
"city": "FAIRBORN",
"state": "OH",
"postal_code": "453242941",
"telephone_number": "508-562-0491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 S MAIN ST",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454582372",
"telephone_number": "937-434-0540",
"fax_number": "937-434-6726"
}
],
"practiceLocations": [
{
"address_1": "2505 Court Dr",
"address_purpose": "LOCATION",
"city": "Gastonia",
"state": "NC",
"postal_code": "280542140",
"country_code": "US",
"telephone_number": "704-854-4196",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2505 Court Dr",
"address_purpose": "LOCATION",
"city": "Gastonia",
"state": "NC",
"postal_code": "280542140",
"country_code": "US",
"telephone_number": "704-854-4196",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8809 Cincinnati Dayton Rd",
"address_purpose": "LOCATION",
"city": "West Chester",
"state": "OH",
"postal_code": "450693134",
"country_code": "US",
"telephone_number": "513-360-8205",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "409 S Oakland St",
"address_purpose": "LOCATION",
"city": "Gastonia",
"state": "NC",
"postal_code": "28052",
"country_code": "US",
"telephone_number": "704-874-9005",
"fax_number": "704-874-9001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRANT",
"first_name": "MOLLY",
"credential": "MSW, LISW-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-13",
"last_updated": "2024-01-22",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "PO12133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.