Active NPI
Molly Irene Perez, LMSW
- Clinical Social Worker
- Wyoming, MI
National Provider Identifier
1235404351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801086154
- Practice address
- 1048 32ND St SW
Wyoming, MI 49509-2806 - Phone
- (616) 902-0728
- NPI assigned
- Mar 22, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801086154 | MI | Primary |
| Social Worker | 104100000X | 6801086154 | MI |
Addresses
Primary practice location
1048 32ND St SW
Wyoming, MI 49509-2806
Mailing address
1048 32ND St SW
Wyoming, MI 49509-2806
Phone (616) 293-6876
Other practice location 1
375 Apple Tree Dr
Ionia, MI 48846-7506
Phone (616) 527-1790
Other practice location 2
3200 Greenfield Rd Ste 300
Dearborn, MI 48120-1805
Phone (855) 629-0554
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1715928 | Medicaid | MI |
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 |
|---|---|---|---|
| 6801086154 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1235404351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1048 32ND ST SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "495092806",
"telephone_number": "616-293-6876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1048 32ND ST SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "495092806",
"telephone_number": "616-902-0728"
}
],
"practiceLocations": [
{
"address_1": "375 Apple Tree Dr",
"address_purpose": "LOCATION",
"city": "Ionia",
"state": "MI",
"postal_code": "488467506",
"country_code": "US",
"telephone_number": "616-527-1790",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3200 Greenfield Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Dearborn",
"state": "MI",
"postal_code": "481201805",
"country_code": "US",
"telephone_number": "855-629-0554",
"fax_number": "833-885-0567",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ",
"first_name": "MOLLY",
"middle_name": "IRENE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-22",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801086154",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801086154",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1715928",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wyoming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.