Molly George Prince, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

333285-3501 Issued in UT

Practice address

3098 S Highland Dr
Suite 202
Salt Lake City, UT 84106-3085

Phone

(801) 680-4705

Fax

(801) 906-0129

NPI assigned

Apr 19, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Center for Individual Responsibility

  • Clinical Social Worker
  • Tooele, UT
  • NPI 1700012192
  Medicare reassignment NPD Authorized official
• Pride Counseling Inc

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1790899284
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1396700548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 179",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841100179",
            "telephone_number": "801-680-4705",
            "fax_number": "801-906-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3098 S HIGHLAND DR",
            "address_2": "SUITE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063085",
            "telephone_number": "801-680-4705",
            "fax_number": "801-906-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "MOLLY",
        "middle_name": "GEORGE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "333285-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03332853501001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elyse Prime
• Jeffrey S Prince, MD
• Laura Prince, PA-C
• Lauren Prince
• Marguerite Prince
• Patricia Jean Prince
• Victoria Lyell Prince, MD/PHD
• Evan Pringle
• Jennifer Pringle
• Gabrielle Prior

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.