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NPI 1861096299

NPI 1861096299 : MOLLY SCHOFIELD, LLC : BROOKLINE, MA

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General NPI Number Information
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    NPI Number           |    1861096299
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    Entity Type          |    Organization 
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    Legal Business Name  |    MOLLY SCHOFIELD, LLC 
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Dates
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    Enumeration Date     |    11/25/2020
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    Last Update Date     |    10/17/2022
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Provider Practice Location Address
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    Address Line         |    1330 BEACON STREET SUITE 263
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    City                 |    BROOKLINE
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    State                |    MA
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    Zip                  |    02446
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    Country              |    US
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    Telephone            |    978-261-7545
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    164 CORDAVILLE RD UNIT 771 
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    City                 |    SOUTHBOROUGH
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    State                |    MA
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    Zip                  |    01772-1885
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    Country              |    US
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    Telephone            |    978-261-7545
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    Fax                  |    
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Authorized Official
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    Title or Position    |    LICSW
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    Name                 |     MOLLY  SCHOFIELD 
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    Credential           |    
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    Telephone            |    978-460-1635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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