| Miss Colette Molloy, LCSW | |
|
2500 Como Ave, Mail Stop 31100a, Saint Paul, MN 55108-1460 | |
| (651) 641-6200 | |
| (651) 641-6205 |
| Full Name | Miss Colette Molloy |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2500 Como Ave, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215147491 | NPI | - | NPPES |
| 149010099 | Other | IL | LCSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 23196 (Minnesota) | Primary |
| Entity Name | Cgc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699239566 PECOS PAC ID: 4284169723 Enrollment ID: O20241121000828 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Colette Molloy, LCSW 8170 33rd Ave S, Minneapolis, MN 55425-4516 Ph: (651) 641-6200 | Miss Colette Molloy, LCSW 2500 Como Ave, Mail Stop 31100a, Saint Paul, MN 55108-1460 Ph: (651) 641-6200 |
Mr. Michael Joseph O'neill, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1919 University Ave W, Saint Paul, MN 55104 Phone: 651-266-7900 Fax: 651-266-7850 | |
Ms. Sharon Kay Geiger, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1919 University Ave W, Saint Paul, MN 55104 Phone: 651-266-7978 | |
Mrs. Karen Anne Stevensen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2469 University Ave W, Saint Paul, MN 55114 Phone: 612-720-5083 | |
Kathleen Lombardi, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1919 University Ave W Ste 200, Saint Paul, MN 55104 Phone: 651-266-7900 | |
Ms. Sherie Lou Bosak, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 821 Raymond Ave, #300, Saint Paul, MN 55114 Phone: 651-645-0438 Fax: 651-647-0659 | |
Helen Jane Gammon, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-2766 | |
Ken Wilfred Schmitz, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2469 University Ave W, Saint Paul, MN 55114 Phone: 651-659-0294 |