Molly Elizabeth Dwyer Deyton, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3808C Issued in AL

Practice address

2209 9TH St
Tuscaloosa, AL 35401-2300

Phone

(205) 391-3131

Fax

(205) 391-3137

NPI assigned

Dec 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Molly Elizabeth Dwyer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1972047199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 9TH STREET",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35401",
            "telephone_number": "205-391-3131",
            "fax_number": "205-391-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 9TH ST",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012300",
            "telephone_number": "205-391-3131",
            "fax_number": "205-391-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEYTON",
        "first_name": "MOLLY",
        "middle_name": "ELIZABETH DWYER",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3808C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "DWYER",
            "middle_name": "ELIZABETH",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brianna Winters Derevjanik
• Leisa W Devenny, MD
• Michael F Devenny, MD
• Melissa Anne Deviney, MD
• Teah Marie Dewitt, CRNP
• Rameet Kaur Dhaliwal
• Ali Mohammed Dhanaliwala, MD
• Moninder Kaur Dhillon, MD
• Diagnostic Health Corporation
• John Davis Diaz, DMD

• All providers in Tuscaloosa, AL
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.