Individual provider Active NPI

Patricia Molitor, LCSW

  • Clinical Social Worker
  • Cary, NC
National Provider Identifier
1497771133
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C002784 Issued in NC
Practice address
1230 SE Maynard Rd
Suite 204
Cary, NC 27511-6945
Phone
(919) 467-7667
Fax
(919) 467-7667
NPI assigned
Jul 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C002784 NC Primary

Addresses

Primary practice location

1230 SE Maynard Rd
Suite 204
Cary, NC 27511-6945

Mailing address

1230 SE Maynard Rd
Suite 204
Cary, NC 27511-6945
Phone (919) 467-7667

Other identifiers 9

IdentifierTypeStateIssuer
A7924OtherNCMEDCOST
1156UOtherNCBLUE CROSS/BLUE SHIELD
1161531OtherNCCIGNA BEHAVIORAL HEALTH
0001128295OtherNCMANAGED HEALTH NETWORK
1156UOtherNCNC HEALTHCHOICE
3045876OtherNCAETNA
6002441MedicaidNC
9264218OtherNCPHCS BEHAVIORAL
A850780OtherNCVALUE OPTIONS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497771133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 SE MAYNARD RD",
            "address_2": "SUITE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116945",
            "telephone_number": "919-467-7667",
            "fax_number": "919-467-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 SE MAYNARD RD",
            "address_2": "SUITE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116945",
            "telephone_number": "919-467-7667",
            "fax_number": "919-467-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLITOR",
        "first_name": "PATRICIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "A7924",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "1156U",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "1161531",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "0001128295",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC HEALTHCHOICE",
            "identifier": "1156U",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3045876",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002441",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS BEHAVIORAL",
            "identifier": "9264218",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "A850780",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.