Provider Demographics
NPI:1104553056
Name:SCHLOSS, MOLLY (LCSWA)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:SCHLOSS
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7850 BRIER CREEK PKWY STE 102
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-8900
Mailing Address - Country:US
Mailing Address - Phone:984-250-8963
Mailing Address - Fax:
Practice Address - Street 1:6013 FARRINGTON RD STE 300
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-8195
Practice Address - Country:US
Practice Address - Phone:984-974-7337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-02
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0177281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical