Individual provider Active NPI

Molly Kley

  • Social Worker
  • Egg Harbor City, NJ
National Provider Identifier
1417578063
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1701 New York Ave
Egg Harbor City, NJ 08215-1606
Phone
(609) 593-3560
NPI assigned
May 5, 2020
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

1701 New York Ave
Egg Harbor City, NJ 08215-1606

Mailing address

1662 Buttonwood Ave
Toms River, NJ 08755-0815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20250530002048 NJ Practitioner - Clinical Social Worker 2860901014 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Perlman Counseling and Supervision Services LLC CurrentSince May 17, 2025 Accepting new patients

Locations

200 Atlantic Ave
Ste M
Manasquan, NJ 08736
Phone (732) 292-4504

200 Atlantic Ave
Ste R
Manasquan, NJ 08736
Phone (732) 292-4504

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1417578063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1662 BUTTONWOOD AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087550815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 NEW YORK AVE",
            "city": "EGG HARBOR CITY",
            "state": "NJ",
            "postal_code": "082151606",
            "telephone_number": "609-593-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEY",
        "first_name": "MOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor City, NJ

Sources for this page

Verify at the official NPI Registry.