Individual provider Active NPI

Molly M. Molloy, MSW, LCSW

  • Clinical Social Worker
  • Butte, MT
National Provider Identifier
1194028621
Registry record updated Dec 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
974 Issued in MT
Practice address
55 Basin Creek Rd
Butte, MT 59701-9704
Phone
(406) 533-2713
NPI assigned
Dec 5, 2010
Last updated
Dec 5, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2010

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 974 MT Primary

Addresses

Primary practice location

55 Basin Creek Rd
Butte, MT 59701-9704

Mailing address

3045 Floral Blvd
Butte, MT 59701-4620
Phone (406) 360-7439

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
974MTMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1291507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291507200000",
    "number": "1194028621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 FLORAL BLVD",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597014620",
            "telephone_number": "406-360-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BASIN CREEK RD",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597019704",
            "telephone_number": "406-533-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLOY",
        "first_name": "MOLLY",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-05",
        "last_updated": "2010-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2010; 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.