MEDICARE: MOLIA SIEH LCSWC

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	06427	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	258326	OTHER	MD	KAISER
2	806010-000	OTHER	MD	MAGELLAN
3	LV12/64629601	OTHER	MD	BLUESHIELDBLUECROSS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	F127-0024	OTHER	DC	BLUECROSSBLUESHIELD
6	2145020	OTHER	MD	MAMSI
7	363185	OTHER	MD	MHN

General Provider Information

NPI Number	:	1609968999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOLIA SIEH LCSWC

Provider Business Mailing Address
First Line	:	8201 16TH ST
Second Line	:	APT. 1011
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3240
Country	:	US
Telephone Number	:	301-219-3320
Fax Number	:

Provider Business Practice Location Address
First Line	:	10230 NEW HAMPSHIRE AVE
Second Line	:	#201
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-1400
Country	:	US
Telephone Number	:	301-219-3320
Fax Number	:

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

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	03/22/2012

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Directions to “ MOLIA SIEH LCSWC” Practice Location

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