Active NPI
Molly Ann Morang, LLMSW
- Social Worker
- Grand Rapids, MI
National Provider Identifier
1205527116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6851116244
- Practice address
- 1055 Medical Park Dr SE
Grand Rapids, MI 49546-8323 - Phone
- (616) 942-9610
- NPI assigned
- May 19, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6851116244 | MI | Primary |
Addresses
Primary practice location
1055 Medical Park Dr SE
Grand Rapids, MI 49546-8323
Mailing address
2013 Eastcastle Dr SE Ste B
Grand Rapids, MI 49508-8873
Phone (616) 888-1120
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6851116244 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Journey PLLC | Current | Accepting new patients |
Locations
2013 Eastcastle Dr SE
Ste B
Kentwood, MI 49508
Phone (616) 204-0308
Organizations & group practices 1
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.
-
- Psychologist
- Grand Rapids, MI
- NPI 1538531017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1205527116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2013 EASTCASTLE DR SE STE B",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495088873",
"telephone_number": "616-888-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 MEDICAL PARK DR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495468323",
"telephone_number": "616-942-9610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORANG",
"first_name": "MOLLY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-19",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6851116244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.