Individual provider Active NPI

Molly Papish, LCSW

  • Clinical Social Worker
  • Hartford, CT
National Provider Identifier
1467908582
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58.010038 Issued in CT
Practice address
331 Wethersfield Ave
Hartford, CT 06114-1420
Phone
(860) 236-4511
NPI assigned
Aug 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 58.010038 CT Primary
Social Worker 104100000X 003319 CT

Addresses

Primary practice location

331 Wethersfield Ave
Hartford, CT 06114-1420

Mailing address

331 Wethersfield Ave
Hartford, CT 06114-1420
Phone (860) 236-4511

Other practice location 1

500 Albany Ave
Hartford, CT 06120-2508
Phone (860) 249-9625 ext. 246

Other identifiers 1

IdentifierTypeStateIssuer
060863942MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20180314000373 CT Practitioner - Clinical Social Worker 8527320308 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58.010038CTMDClinical Social Worker
003319CTMDSpeech-Language Pathologist
10038CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Village for Families & Children, Inc. CurrentSince Jan 29, 2018 Accepting new patients

Locations

331 Wethersfield Ave
Hartford, CT 06114
Phone (860) 236-4511

1680 Albany Ave
Hartford, CT 06105
Phone (860) 236-4511

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1467908582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 WETHERSFIELD AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061141420",
            "telephone_number": "860-236-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 WETHERSFIELD AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061141420",
            "telephone_number": "860-236-4511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Albany Ave",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061202508",
            "country_code": "US",
            "telephone_number": "860-249-9625 x246",
            "fax_number": "860-761-0773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPISH",
        "first_name": "MOLLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "58.010038",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "003319",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060863942",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.