Provider Demographics
NPI:1336335637
Name:MOLINARI, JOSEPH Z (LCSW)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:Z
Last Name:MOLINARI
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2180 W ALAMEDA ST APT 18
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-9081
Mailing Address - Country:US
Mailing Address - Phone:571-253-1433
Mailing Address - Fax:
Practice Address - Street 1:2180 W ALAMEDA ST APT 33
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-9081
Practice Address - Country:US
Practice Address - Phone:571-253-1433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-20
Last Update Date:2024-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN252551041C0700X
COCSW.099237461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical