Molly Kathleen Chynoweth Prentice, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

372156-3501 Issued in UT

Practice address

1208 E 3300 S
Salt Lake City, UT 84106-2522

Phone

(801) 483-1600

NPI assigned

May 28, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Molly Kathleen Prentice Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1396970786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 BURNINGHAM DR",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841194767",
            "telephone_number": "801-643-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 E 3300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062522",
            "telephone_number": "801-483-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHYNOWETH PRENTICE",
        "first_name": "MOLLY",
        "middle_name": "KATHLEEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "372156-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "PRENTICE",
            "middle_name": "KATHLEEN",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Robert A Church, DPM
• Ryan Dennis Church, FNP-C
• Sarah Jane Church
• John Churchill
• Susan K Churchill, APRN
• Robert Chynoweth, PT
• Claire Ciarkowski, MD
• Sara Lauren Cicmanec
• Luciana Cid Povoa, DPT
• Abigayle R Cieslak, NP

• 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 May 28, 2009; 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.