James Michael Moll in Saint Louis - Clinical
James Michael Moll - NPI 1518165257
James Michael Moll is a Clinical in Saint Louis, Missouri. James Michael Moll practices all healthcare services and medical treatments related to Clinical. The NPI Number for James Michael Moll is 1518165257. The last update date is 2010-04-16.
James Michael Moll's current location address is 12661 Nanell Ln, Saint Louis, Missouri. You can contact this provider via phone number 3143036559. The mailing address for James Michael Moll is 12661 Nanell Ln, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Michael Moll |
|---|---|
| Address | 12661 Nanell Ln, Saint Louis, Missouri |
| Phone Number | 3143036559 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1518165257 |
|---|---|
| Provider Enumeration Date | 2007-07-04 |
| Last Updated Date | 2010-04-16 |
Provider Mailing Address Detail
| Address | 12661 Nanell Ln |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631271517 |
| Phone Number | 3143036559 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2006011717 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identification code issued to James Michael Moll by the Centers for Medicare & Medicaid Services?
The James Michael Moll has been assigned the NPI (National Provider Identifier) 1518165257 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of James Michael Moll?
The James Michael Moll is situated at 12661 Nanell Ln, in the city of Saint Louis, state of MO, with the zip code 631271517.
What is James Michael Moll's specialized field of practice, and what is the corresponding taxonomy classification code?
The James Michael Moll's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1518165257 to James Michael Moll?
The Centers for Medicare & Medicaid Services originally issued the 1518165257 to James Michael Moll on 2007-07-04.
As of what date were the details pertaining to James Michael Moll last refreshed?
The information related to the James Michael Moll, including its address, specialty, and other relevant details, was last updated on 2010-04-16.