MOLLY CROCKER (LISW) – Clinical Social Worker, NPI 1316519119

MOLLY CROCKER (LISW) is a healthcare provider. based in Dublin, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW. They hold a License No. I.2103064 (OH). The NPI Number for MOLLY CROCKER (LISW) is 1316519119

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MOLLY CROCKER (LISW)
NPI
1316519119
Phone
(614) 580-6917
Address
495 METRO PL S STE 160
Enumeration Date
13 July 2021
Last Update Date
12 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6145806917
Graduation Year
2019 (7 years ago)
PAC ID
2860895075
Group Practice PAC ID
3577884105
Professional Enrollment ID
I20210726003043
Address ID
OH432281538CO50XXXRDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for MOLLY CROCKER (LISW)

  • 495 METRO PL S STE 160

    DUBLIN, OH 430175394

    Phone: (614) 580-6917

    Mailing address matches the actual address.

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: 2021-07-26

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
I20210726003043IClinical Social WorkerOHTBD

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 43017)

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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: 3577884105View full group profile
NameSpecialtyState
P S Y C H I A T R YOH
Nurse PractitionerOH
Clinical Social WorkerOH
Mental Health CounselorOH
Nurse PractitionerOH
-OH
Clinical Social WorkerOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

Where can patients find MOLLY CROCKER (LISW)'s NPI?
You can confirm MOLLY CROCKER (LISW) with NPI 1316519119; it appears in the national provider directory.
Is MOLLY CROCKER (LISW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MOLLY CROCKER (LISW) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for MOLLY CROCKER (LISW). Clinical services aligned with this taxonomy classification.
Does MOLLY CROCKER (LISW) practice in Ohio?
You will see Dublin, Ohio on file for MOLLY CROCKER (LISW) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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