Molly Patricia Dillon Czech, MSW, APSW, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

128282-121 Issued in WI

Practice address

2829 Royal Ave
Suite 200
Monona, WI 53713-1535

Phone

(608) 661-2829

NPI assigned

Aug 20, 2013

Last updated

Apr 11, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake City Counseling, LLC

  • Counselor
  • Monona, WI
  • NPI 1679755987
  NPD (past)

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1720411101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 ROYAL AVE",
            "address_2": "SUITE 200",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537131535",
            "telephone_number": "608-661-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 ROYAL AVE",
            "address_2": "SUITE 200",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537131535",
            "telephone_number": "608-661-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZECH",
        "first_name": "MOLLY",
        "middle_name": "PATRICIA DILLON",
        "credential": "MSW, APSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "128282-121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720411101",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thea Sue Cornwell, MA, CCC-SLP
• County of Dane Monona Grove School District (Monona Grove School District)
• Christina Marie Craven
• Jennifer Lynn Cummings, LCSW
• Anthony J Curcio, DC
• Dane County Cytology Center, Inc
• Dane County Family Acupuncture
• Rosa Daneshvar
• Stephanie A Daugherty-Dennis, MSW, CISW
• Rachel Dawson, DPT

• Social Worker in Monona, WI
• Providers in Monona, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.