Provider Demographics
NPI:1215205158
Name:CODDING, MOLLY B (LMSW)
Entity Type:Individual
Prefix:MS
First Name:MOLLY
Middle Name:B
Last Name:CODDING
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 1:155 DENSMORE RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14609-1850
Mailing Address - Country:US
Mailing Address - Phone:585-339-1415
Mailing Address - Fax:585-339-1406
Practice Address - Street 1:155 DENSMORE RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14609-1850
Practice Address - Country:US
Practice Address - Phone:585-339-1415
Practice Address - Fax:585-339-1406
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-07
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY082675-11041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool