MOLLY KAY MITLEY LICSW
NPI 1265214050
Social Worker - Clinical in Minneapolis, MN

Q: What is Molly Mitley's NPI number?

The NPI number for Molly Mitley is 1265214050. It was assigned to this individual provider in the NPPES registry on October 17, 2023.

Q: What is Molly Mitley's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Molly Mitley was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 17, 2023PECOS Enrolled

525 PORTLAND AVE # MC963, MINNEAPOLIS, MN 55415(612) 596-1223 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Molly Kay Mitley Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOLLY KAY MITLEY LICSW (NPI 1265214050) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (25754) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Edina, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1265214050

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMOLLY KAY MITLEYCredential: LICSW

Location Address525 PORTLAND AVE # MC963Minneapolis, MN 55415-1533

Mailing Address5752 23rd Ave SMinneapolis, MN 55417-2719 · (612) 532-5888

Phone(612) 596-1223

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateOctober 17, 2023

Last NPPES UpdateJuly 21, 2025

NPPES CertifiedJuly 21, 2025

✔ NPI 1265214050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MN · 25754

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

525 PORTLAND AVE # MC963, Minneapolis, MN 55415

Open in Google Maps ↗

Secondary Practice Location 1

Location 14820 W 77th St Ste 130Edina, MN 55435-4832 · Phone (651) 313-8080

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Molly Kay Mitley Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981050598

PECOS Enrollment IDI20231101003367

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55415 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.00 – $168.28

Typical copayment $0.00 (range $14.00 – $42.07)

Most-billed visit code NA

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS MCCARTHY JR.

Counselor (Mental Health)