James Michael Moll, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2006011717 Issued in MO

Practice address

4144 Lindell Blvd
Suite #401
Saint Louis, MO 63108-2927

Phone

(314) 303-6559

Fax

(314) 842-1822

NPI assigned

Jul 4, 2007

Last updated

Apr 16, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1183507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271376000000",
    "number": "1518165257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12661 NANELL LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271517",
            "telephone_number": "314-303-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 LINDELL BLVD",
            "address_2": "SUITE #401",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082927",
            "telephone_number": "314-303-6559",
            "fax_number": "314-842-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLL",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-04",
        "last_updated": "2010-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2006011717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hector D Molina-Vicenty, MD
• Camilo Molina, MD
• Jessica Rene Molinari, FNP-BC
• Amanda Lee Molitor, ACNP
• John William Molitor Jr., AGACNP
• Morgan Moll, MOT, OTR/L
• Samuel James Moll, PA
• Westley Moll
• Alyssa Renee Moller, MD
• Jerome Michael Molleston, MD

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.