Organization Active NPI

Molly Luckner Lisw

  • Community/Behavioral Health Agency
  • Columbus, OH
National Provider Identifier
1659736155
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
I1200474 Issued in OH
Legal business name
MOLLY LUCKNER LISW
Practice address
3680 Eisenhower Rd
Columbus, OH 43224-2626
Phone
(330) 704-5377
NPI assigned
Dec 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Authorized official

Name
Molly Luckner, LISW
Title
Clinical Social Worker
Phone
(330) 704-5377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X I1200474 OH Primary

Addresses

Primary practice location

3680 Eisenhower Rd
Columbus, OH 43224-2626

Mailing address

3680 Eisenhower Rd
Columbus, OH 43224-2626
Phone (330) 704-5377

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1659736155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 EISENHOWER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432242626",
            "telephone_number": "330-704-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 EISENHOWER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432242626",
            "telephone_number": "330-704-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLLY LUCKNER LISW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "LUCKNER",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "330-704-5377",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "I1200474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.