Active NPI
Molli Catherine Collacott, MSW
- Clinical Social Worker
- Cherry Hill, NJ
National Provider Identifier
1770705550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 07004
- Practice address
- 375 Kings Hwy N
Cherry Hill, NJ 08034-1013 - Phone
- (856) 779-2346
- NPI assigned
- May 3, 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 | 07004 | MD | Primary |
Addresses
Primary practice location
375 Kings Hwy N
Cherry Hill, NJ 08034-1013
Mailing address
430 Springfield Ave
Pine Beach, NJ 08741-1115
Phone (240) 527-9927
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07004 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770705550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 SPRINGFIELD AVE",
"city": "PINE BEACH",
"state": "NJ",
"postal_code": "087411115",
"telephone_number": "240-527-9927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 KINGS HWY N",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080341013",
"telephone_number": "856-779-2346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLACOTT",
"first_name": "MOLLI",
"middle_name": "CATHERINE",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "07004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cherry Hill, NJ
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.