Molly Shriver-Blake, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0100267 Issued in VT

Practice address

102 Suburban SQ
South Burlington, VT 05403-6458

Phone

(802) 595-9278

Fax

(802) 595-9278

NPI assigned

Aug 5, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720367907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SUBURBAN SQ",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036458",
            "telephone_number": "802-595-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SUBURBAN SQ",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036458",
            "telephone_number": "802-595-9278",
            "fax_number": "802-595-9278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1316 Patton Ave",
            "address_2": "D",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288062666",
            "country_code": "US",
            "telephone_number": "828-225-3100",
            "fax_number": "828-225-3604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHRIVER-BLAKE",
        "first_name": "MOLLY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P006371",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0100267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Shea, MS, CCC-SLP
• Jamie Sheahan, M.S., R.D.
• Wendy April Shedd, PAC
• Shelley K Hoak Otr PLLC
• Rebecca Sherlock, LICSW
• Brian D. Shuman, DMD
• Marlena Silva, LCMHC
• Sophia Marie Simkins, RN
• Sarahjeet Singh, M.D.
• Nathan Sinz, MD

• Clinical Social Worker in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.