Mollie Elizabeth Cudmore, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

62606 Hurricane Creek Rd
Joseph, OR 97846-8109

Phone

(541) 805-1606

NPI assigned

Jul 16, 2013

Last updated

Jan 4, 2024By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

• Mindful Therapy Group PC

  dba Mindful Therapy Group

  • Clinical Social Worker
  • Mountlake Terrace, WA
  • NPI 1316238678

  OR

  Medicare reassignment Care Compare group NPD
• Wallowa Valley Center for Wellness

  • Community/Behavioral Health Agency
  • Enterprise, OR
  • NPI 1043249907
  Medicare reassignment NPD
• MB Counseling LLC

  • Clinical Social Worker
  • La Grande, OR
  • NPI 1457031452
  NPD (past)

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1427499656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62606 HURRICANE CREEK RD",
            "city": "JOSEPH",
            "state": "OR",
            "postal_code": "978468109",
            "telephone_number": "541-805-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62606 HURRICANE CREEK RD",
            "city": "JOSEPH",
            "state": "OR",
            "postal_code": "978468109",
            "telephone_number": "541-805-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUDMORE",
        "first_name": "MOLLIE",
        "middle_name": "ELIZABETH",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020986",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blue Butterfly Services LLC (Blue Butterfly Mental Health LLC)
• R. Devee Boyd, M.D.
• Kirsten Elizabeth Tallent Caine, MD
• Sandra N Catlin, LCSW
• Chief Joseph Dental Clinic, LLC
• Kuulei Delatori, RDH
• Risa Frank
• Traci M. Frye, R.N., F.N.P.
• Amy Jacqueline Gulzow, LMT
• Charles Jeffrey Harman, LPC

• Clinical Social Worker in Joseph, OR
• Providers in Joseph, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.