MISS COLETTE MOLLOY (LCSW) – Clinical Social Worker, NPI 1215147491

MISS COLETTE MOLLOY (LCSW) is a healthcare provider. based in Minneapolis, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 23196 (MN). The NPI Number for MISS COLETTE MOLLOY (LCSW) is 1215147491

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MISS COLETTE MOLLOY (LCSW)
NPI
1215147491
Phone
(651) 641-6200
Address
8170 33RD AVE S
Enumeration Date
23 May 2007
Last Update Date
18 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6128254792
Graduation Year
1998 (28 years ago)
PAC ID
3072813765
Group Practice PAC ID
4284169723
Professional Enrollment ID
I20151202001627
Address ID
MN554164758MI4208XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

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Provider Addresses for MISS COLETTE MOLLOY (LCSW)

  • 33rd Avenue South, Wenonah, Minneapolis, Hennepin County, Minnesota, 55417, United States

    MINNEAPOLIS, MN 554254516

    Phone: (651) 641-6200

    Fax: (651) 641-6205

    Type: Mailing

  • Healthpartners Como, 2500, Como Avenue, Saint Paul, Ramsey County, Minnesota, 55108, United States

    MAIL STOP 31100A

    SAINT PAUL, MN 551081460

    Phone: (651) 641-6200

    Fax: (651) 641-6205

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-12-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151202001627IClinical Social WorkerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55425)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284169723View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Mental Health CounselorMN
Clinical PsychologistMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

How is MISS COLETTE MOLLOY (LCSW) identified in CMS data?
CMS-hosted NPPES data lists MISS COLETTE MOLLOY (LCSW) with NPI 1215147491.
Can I rely on MISS COLETTE MOLLOY (LCSW) being an active provider?
As of the registry snapshot, MISS COLETTE MOLLOY (LCSW) is marked active.
What healthcare role does MISS COLETTE MOLLOY (LCSW) hold?
Scheduling teams often label MISS COLETTE MOLLOY (LCSW) under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Does MISS COLETTE MOLLOY (LCSW) list a practice location?
Patients near Minneapolis, Minnesota may find MISS COLETTE MOLLOY (LCSW) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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