Individual provider Active NPI

Molly Grant, MSW, LISW-S

  • Clinical Social Worker
  • Centerville, OH
National Provider Identifier
1164908166
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PO12133 Issued in NC
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

Updated by the provider on Jan 22, 2024

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 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

LicenseStateTypeSpecialty
PO12133NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Paul D Entner PastSince Dec 16, 2023 Accepting new patients
Catalyst Counseling LLC Clinical PastSince Aug 1, 2022 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.

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.

Verify at the official NPI Registry.