Individual provider Active NPI

Molly G Fox, LCSW

  • Clinical Social Worker
  • Portland, ME
National Provider Identifier
1902340425
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC16613 Issued in ME
Practice address
84 Marginal Way Ste 800
Portland, ME 04101-2475
Phone
(207) 774-5816
Fax
(207) 523-8595
NPI assigned
Dec 19, 2016
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC16613 ME Primary

Addresses

Primary practice location

84 Marginal Way Ste 800
Portland, ME 04101-2475

Mailing address

100 Gannett Dr Ste C
South Portland, ME 04106-5900
Phone (207) 828-0361

Other practice location 1

12 Union St
Rockland, ME 04841-2739
Phone (844) 292-0111

Other practice location 2

474 Main St
Springvale, ME 04083-1409
Phone (844) 292-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171010000359 ME Practitioner - Clinical Social Worker 6901171487 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC16613MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Oct 28, 2024 Accepting new patients
The Counseling Center of Nashua Inc Clinical CurrentSince Jul 17, 2023 Accepting new patients
Mainehealth CurrentSince Oct 28, 2024 Accepting new patients
Mainehealth Current Accepting new patients
Spurwink Services Incorporated Past Accepting new patients
Spectrum Healthcare Partners, P.a. PastSince Feb 1, 2022 Accepting new patients

Locations

11 Baxter Blvd
Fl 2
Portland, ME 04101
Phone (207) 306-9900

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

53 Baxter Blvd
Portland, ME 04101
Phone (207) 245-1648

53 Baxter Blvd
Ste 3
Portland, ME 04101
Phone (207) 613-4115

12 Union St
Rockland, ME 04841
Phone (207) 701-4400

474 Main St
Springvale, ME 04083
Phone (207) 324-1500

1 Main St
Nashua, NH 03064
Phone (603) 689-7978

Interoperability endpoints

  • Direct secure messaging: ccn.mollyfox@140126.advancedmd-direct.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1902340425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GANNETT DR STE C",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065900",
            "telephone_number": "207-828-0361",
            "fax_number": "207-874-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 MARGINAL WAY STE 800",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012475",
            "telephone_number": "207-774-5816",
            "fax_number": "207-523-8595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Union St",
            "address_purpose": "LOCATION",
            "city": "Rockland",
            "state": "ME",
            "postal_code": "048412739",
            "country_code": "US",
            "telephone_number": "844-292-0111",
            "fax_number": "207-701-4487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "474 Main St",
            "address_purpose": "LOCATION",
            "city": "Springvale",
            "state": "ME",
            "postal_code": "040831409",
            "country_code": "US",
            "telephone_number": "844-292-0111",
            "fax_number": "207-490-5263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "MOLLY",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC16613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.