Molly Kay Mitley, LICSW in Minneapolis, MN - Medicare Social Worker Provider

Molly Kay Mitley, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Minneapolis, Minnesota. Her current practice location is 525 Portland Ave # Mc963, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 596-1223.

Molly Kay Mitley is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265214050.

Contact Information

	Molly Kay Mitley, LICSW
	525 Portland Ave # Mc963, Minneapolis, MN 55415-1533
	(612) 596-1223
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Molly Kay Mitley
Gender	Female
Speciality	Social Worker - Clinical
Location	525 Portland Ave # Mc963, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265214050
Provider Enumeration Date: 10/17/2023
Last Update Date: 07/21/2025

Medicare PECOS Information:

PECOS PAC ID: 4981050598
Enrollment ID: I20231101003367

Medical Identifiers

Medical identifiers for Molly Kay Mitley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265214050	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	25754 (Minnesota)	Secondary
1041C0700X	Social Worker - Clinical	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Molly Kay Mitley allows following entities to bill medicare on her behalf.

Entity Name	Ellie Family Services Pllp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740664150 PECOS PAC ID: 8325309669 Enrollment ID: O20180228001972

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Molly Kay Mitley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Molly Kay Mitley, LICSW 5752 23rd Ave S, Minneapolis, MN 55417-2719 Ph: (612) 532-5888	Molly Kay Mitley, LICSW 525 Portland Ave # Mc963, Minneapolis, MN 55415-1533 Ph: (612) 596-1223

Reviews and Comments

Social Worker in Minneapolis, MN

Mr. Tim D Sullivan, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 229 Ridgewood Ave, Apartment 112, Minneapolis, MN 55403 Phone: 612-600-7169
Catherine Elaine Mcnaughton, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 612-813-6138
Don Coleman, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2430 Nicollet Ave, Minneapolis, MN 55404 Phone: 612-871-1454 Fax: 612-871-1505
Seare Shibeshi, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2327 E Franklin Ave Ste 3, Minneapolis, MN 55406 Phone: 612-332-9124
Alex Jacob Hoyt, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4027 County Road 25, Minneapolis, MN 55416 Phone: 612-925-6033 Fax: 612-925-8496
Elissa J Allen, LGSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 866-603-0016
Sydney Bartz, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Glenwood Ave, Minneapolis, MN 55405 Phone: 612-871-1454

Molly Kay Mitley, LICSW - Medicare Clinical Social Worker in Minneapolis, MN