MEDICARE: CAROLINE MOLIERI LICSW, MPA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LC50081166	DC
2	1041S0200X	School Social Worker	LC50081166

General Provider Information

NPI Number	:	1003317041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE MOLIERI LICSW, MPA

Provider Business Mailing Address
First Line	:	1700 Q ST SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-5518
Country	:	US
Telephone Number	:	202-939-3150
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 Q ST SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-5518
Country	:	US
Telephone Number	:	202-939-3150
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2018
Last Update Date	:	02/26/2018

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