Active NPI
Patricia Molitor, LCSW
- Clinical Social Worker
- Cary, NC
National Provider Identifier
1497771133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C002784
- 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, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A7924 | Other | NC | MEDCOST |
| 1156U | Other | NC | BLUE CROSS/BLUE SHIELD |
| 1161531 | Other | NC | CIGNA BEHAVIORAL HEALTH |
| 0001128295 | Other | NC | MANAGED HEALTH NETWORK |
| 1156U | Other | NC | NC HEALTHCHOICE |
| 3045876 | Other | NC | AETNA |
| 6002441 | Medicaid | NC | |
| 9264218 | Other | NC | PHCS BEHAVIORAL |
| A850780 | Other | NC | VALUE 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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.