Active NPI
Molly G Muldoon, LICSW
- Social Worker
- Wellesley, MA
National Provider Identifier
1972570893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 111473
- Practice address
- 11 River St
Wellesley, MA 02481-2098 - Phone
- (781) 431-1177
- Fax
- (781) 431-1181
- NPI assigned
- Mar 1, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 111473 | MA | Primary |
Addresses
Primary practice location
11 River St
Wellesley, MA 02481-2098
Mailing address
11 River St
Wellesley, MA 02481-2098
Phone (781) 431-1177
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111473 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972570893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 RIVER ST",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024812098",
"telephone_number": "781-431-1177",
"fax_number": "781-431-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 RIVER ST",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024812098",
"telephone_number": "781-431-1177",
"fax_number": "781-431-1181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULDOON",
"first_name": "MOLLY",
"middle_name": "G",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "111473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellesley, MA
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.