| Molly Allegra Martin, MSW, LICSW | |
| 
					480 Galletti Way, Sparks, NV 89431-5544  | |
| (775) 982-8870 | |
| (775) 982-8871 | 
| Full Name | Molly Allegra Martin | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 480 Galletti Way, Sparks, Nevada | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669042479 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 26852 (Minnesota) | Secondary | 
| 1041C0700X | Social Worker - Clinical | 10659-C (Nevada) | Primary | 
| Entity Name | Community Care Services Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1720031768 PECOS PAC ID: 1951324318 Enrollment ID: O20060111000900  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Molly Allegra Martin, MSW, LICSW 1155 Mill St # Mcm-14, Reno, NV 89502-1576 Ph: (775) 982-5262  | Molly Allegra Martin, MSW, LICSW 480 Galletti Way, Sparks, NV 89431-5544 Ph: (775) 982-8870  | 
Ms. Angela Michelle Charter, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2290 Matteoni Dr, Sparks, NV 89434 Phone: 775-338-3786  | |
Allie Nicole Metoyer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1034 Floral Ridge Way, Sparks, NV 89436 Phone: 775-313-5353  | |
Shelly Bryant,  Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 500 Galletti Way, Sparks, NV 89431 Phone: 775-688-1900  | |
Marcia Kay Cooper, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1467 Shady Oak Dr, Sparks, NV 89434 Phone: 775-689-0220  | |
Helen Ruth Going, LCSW-I Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 860 Tyler Way, Sparks, NV 89431 Phone: 775-356-0371  | |
Mrs. Ivette Hunter, CSW-INTERN Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 480 Galletti Way, Sparks, NV 89431 Phone: 775-688-3357  | |
Denise M Bradshaw, PACT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 480 Galletti Way, Sparks, NV 89431 Phone: 775-688-2101 Fax: 775-688-2004  |