Provider Demographics
NPI:1932073236
Name:SIMON, MOLLY BROWNELL (LMSW)
Entity type:Individual
Prefix:MS
First Name:MOLLY
Middle Name:BROWNELL
Last Name:SIMON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 S 5TH ST APT 8
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11249-8417
Mailing Address - Country:US
Mailing Address - Phone:323-896-8037
Mailing Address - Fax:
Practice Address - Street 1:41 S 5TH ST APT 8
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11249-8417
Practice Address - Country:US
Practice Address - Phone:323-896-8037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-01
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY128968104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker