Michael Christopher Molloy, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04746300 Issued in NJ

Practice address

87 Miller St
Suite #1
Wallington, NJ 07057-2209

Phone

(201) 933-5766

NPI assigned

Dec 20, 2006

Last updated

Dec 17, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Premier Counseling Services

  • Clinical Social Worker
  • Wallington, NJ
  • NPI 1063842235
  NPD (past) Authorized official
• Psychiatric Associates LLP

  • Psychiatry Physician
  • Hackensack, NJ
  • NPI 1922019694
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1992869697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 MILLER ST",
            "address_2": "SUITE #1",
            "city": "WALLINGTON",
            "state": "NJ",
            "postal_code": "070572209",
            "telephone_number": "201-933-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 MILLER ST",
            "address_2": "SUITE #1",
            "city": "WALLINGTON",
            "state": "NJ",
            "postal_code": "070572209",
            "telephone_number": "201-933-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLOY",
        "first_name": "MICHAEL",
        "middle_name": "CHRISTOPHER",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "055883-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04746300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Walter Miller, PTA
• Talya Miller
• Miroslawa M. Parfomak, DDS LLC
• Selma Desiree Mizrak
• MJ Natural Wellness LLC
• Stacy M Montalto, BCBA
• Ogonna Myrie
• Thomas David Nieradka, D.C.
• Ewa Marcinkiewicz Obrien, DDS
• Miroslawa Mikulski Parfomak, D.D.S.

• Clinical Social Worker in Wallington, NJ
• Providers in Wallington, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.