Active NPI
Michael Joseph Molina, LCSW
- Clinical Social Worker
- Fairfield, CA
National Provider Identifier
1942782842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 75407
- Practice address
- 510 Parker Rd
Fairfield, CA 94533-9000 - Phone
- (925) 207-5367
- NPI assigned
- Sep 6, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 75407 | CA | Primary |
Addresses
Primary practice location
510 Parker Rd
Fairfield, CA 94533-9000
Mailing address
2275 Mariposa Dr
Dixon, CA 95620-2549
Other practice location 1
1111 Howe Ave Ste 390
Sacramento, CA 95825-8543
Phone (916) 566-7430
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 |
|---|---|---|---|
| 75407 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536192000000",
"number": "1942782842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2275 MARIPOSA DR",
"city": "DIXON",
"state": "CA",
"postal_code": "956202549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 PARKER RD",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945339000",
"telephone_number": "925-207-5367"
}
],
"practiceLocations": [
{
"address_1": "1111 Howe Ave Ste 390",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958258543",
"country_code": "US",
"telephone_number": "916-566-7430",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOLINA",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-06",
"last_updated": "2018-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "75407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.