Individual ProviderMolly A BlackSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5665 Hoover Rd, Grove City, OH 43123(614) 875-2371PECOS EnrollmentBased on the most recent information from CMS, provider Molly A Black does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1801380936Provider TypeIndividualFull NameBlack, Molly ACredentialLSWGenderFemaleSole ProprietorYesEnumeration Date6/21/2018Last Updated1/21/2025Contact InformationPractice LocationPractice Address5665 Hoover Rd, Grove City, OH 43123Phone(614) 875-2371FaxUnlisted FaxMailing LocationMailing Address54 Grandview Dr, Dublin, OH 43017-1312PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseS.1802284Ohio