Margo Moltmaker, MA, LLPC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

6401014008 Issued in MI

Practice address

21885 Dunham Rd
Suite 1
Clinton Township, MI 48036-1030

Phone

(586) 469-5950

NPI assigned

Jul 15, 2015

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1902280381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21885 DUNHAM RD",
            "address_2": "SUITE 1",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361030",
            "telephone_number": "586-469-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21885 DUNHAM RD",
            "address_2": "SUITE 1",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361030",
            "telephone_number": "586-469-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLTMAKER",
        "first_name": "MARGO",
        "credential": "MA, LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MI",
            "license": "6401014008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "386004868",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohammad Ghaffarloo M.D.P.C.
• Feras Mohder, M. D
• Shawyn K Moldowan, M.A.,LLPC
• Emily Moll, LBSW
• Allan Moltmaker, LMT
• Monica Joy Monroe, COTA
• Mary Frances Monte, RN
• Maleah Lynn Montney, LLMSW
• Danielle Breann Moomaw, PHARMD
• Amayrany Ramires Mora

• Point of Service in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Point of Service in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.