Michael Christopher Molloy, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Wallington, NJ
NPI 1992869697 · NPPES record last updated Dec 17, 2010
Key facts
- NPI
- 1992869697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC04746300 (NJ)
- Practice address
- 87 Miller St
Suite #1
Wallington, NJ 07057-2209 - Phone
- (201) 933-5766
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
87 Miller St
Wallington, NJ 07057-2209
Phone (201) 933-5766
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050408000439 | NJ | Practitioner - Clinical Social Worker | 9638116965 | Practice locations: Wallington, NJ |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055883-1 | NY | MD | Social Worker |
| 44SC04746300 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Associates LLP | Past | Accepting new patients | |
| Premier Counseling Services | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 055883-1 | NY | |
| Clinical Social Worker | 1041C0700X | 44SC04746300 | NJ | Yes |
Addresses
Primary practice location
87 Miller St
Suite #1
Wallington, NJ 07057-2209
Mailing address
87 Miller St
Suite #1
Wallington, NJ 07057-2209
Phone (201) 933-5766
Other providers in Wallington, NJ
- Steven Walter Miller
- Talya Miller
- Miroslawa M. Parfomak, DDS LLC
- Selma Desiree Mizrak
- MJ Natural Wellness LLC
- Stacy M Montalto
- Ogonna Myrie
- Thomas David Nieradka
- Ewa Marcinkiewicz Obrien
- Miroslawa Mikulski Parfomak
All providers in Wallington, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.