Individual provider Active NPI

Molly Ann Bato, LMSW

  • Clinical Social Worker
  • New Hudson, MI
National Provider Identifier
1437600251
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801106701 Issued in MI
Practice address
53435 Grand River Ave
New Hudson, MI 48165-8521
Phone
(810) 494-7180
Fax
(248) 692-4936
NPI assigned
Oct 17, 2016
Last updated
Jul 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801100292 MI
Clinical Social Worker 1041C0700X 6801106701 MI Primary

Addresses

Primary practice location

53435 Grand River Ave
New Hudson, MI 48165-8521

Mailing address

1100 Torrey Rd Ste 100
Fenton, MI 48430-3327
Phone (810) 287-8529

Other practice location 1

26184 Outer Dr
Lincoln Park, MI 48146-2084
Phone (313) 389-7500 ext. 1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20200407000263 MI Practitioner - Clinical Social Worker 6103255500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Downriver Mental Health Clinic PCGroup PAC ID 7911995139, 289 clinicians

Practice addresses (Care Compare)

31560 Schoolcraft Rd
Livonia, MI 48150-1805
Phone (248) 671-4608

53435 Grand River Ave
New Hudson, MI 48165-8521
Phone (810) 494-7180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801100292MIMDSocial Worker
6801106701MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Mental Health Clinic PC Clinical CurrentSince Jul 1, 2022 Accepting new patients
Tender Revolution Therapy PLLC Clinical CurrentSince Jan 5, 2026 Accepting new patients
Downriver Mental Health Clinic PC Clinical CurrentSince Jul 1, 2022 Accepting new patients

Locations

1400 Abbot Rd
Ste 400
East Lansing, MI 48823
Phone (810) 220-2787

1100 Torrey Rd
Ste 100
Fenton, MI 48430
Phone 8104947180106

31560 Schoolcraft Rd
Livonia, MI 48150
Phone (248) 919-8653

53435 Grand River Ave
New Hudson, MI 48165
Phone (517) 492-0517

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.mollybato@150339.advancedmd-direct.com

Organizations & group practices 3

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": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1437600251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 TORREY RD STE 100",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303327",
            "telephone_number": "810-287-8529",
            "fax_number": "248-692-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53435 GRAND RIVER AVE",
            "city": "NEW HUDSON",
            "state": "MI",
            "postal_code": "481658521",
            "telephone_number": "810-494-7180",
            "fax_number": "248-692-4936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26184 Outer Dr",
            "address_purpose": "LOCATION",
            "city": "Lincoln Park",
            "state": "MI",
            "postal_code": "481462084",
            "country_code": "US",
            "telephone_number": "313-389-7500 x1616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATO",
        "first_name": "MOLLY",
        "middle_name": "ANN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801100292",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hudson, MI

Sources for this page

Verify at the official NPI Registry.