Mollie Kimmelman Carl, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

72140 Issued in CA

Practice address

1214 Westminster Ave
Richmond, VA 23227-3742

Phone

(214) 458-1212

NPI assigned

Jun 12, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1437597440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 WESTMINSTER AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232273742",
            "telephone_number": "214-458-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 WESTMINSTER AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232273742",
            "telephone_number": "214-458-1212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 E Trinity Pl",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300303302",
            "country_code": "US",
            "telephone_number": "404-378-2300",
            "fax_number": "404-378-2394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARL",
        "first_name": "MOLLIE",
        "middle_name": "KIMMELMAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "CSW004929",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011768",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "72140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Hearts and Minds LLC
• Caring Hearts, Inc.
• Caring One Home Healthcare
• Caring With a Purpose
• Carl D. Outen, MD, PC
• Neal H Carl, MD
• Peggy Charlene Carl
• Carla M. Shaffer, PHD., LLC
• Carlee Moeller Dietitian Consultant
• David E Carleton, MD

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.