Individual provider Active NPI

Janet Marie Wolf, CMT, LCSW

  • Clinical Social Worker
  • Durango, CO
National Provider Identifier
1013138452
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW00001169 Issued in CO
Practice address
801 Florida Rd Unit 11
Durango, CO 81301-4775
Phone
(970) 769-1967
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW00001169 CO Primary

Addresses

Primary practice location

801 Florida Rd Unit 11
Durango, CO 81301-4775

Mailing address

457 Animas View Dr
Unit 19
Durango, CO 81301-9003
Phone (970) 764-1790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140204000156 CO Practitioner - Clinical Social Worker 1759510274 Practice locations: Durango, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

801 Florida Rd
Unit 11
Durango, CO 81301-4775
Phone (970) 769-1967

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW00001169COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Janet M Wolf Clinical CurrentSince Aug 10, 2020 Accepting new patients
Stacy Reuille-Dupont, LLC PastSince Sep 1, 2020 Accepting new patients

Locations

801 Florida Rd
Unit 11
Durango, CO 81301
Phone (970) 247-3717

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1013138452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 ANIMAS VIEW DR",
            "address_2": "UNIT 19",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813019003",
            "telephone_number": "970-764-1790",
            "fax_number": "970-375-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 FLORIDA RD UNIT 11",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014775",
            "telephone_number": "970-769-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "JANET",
        "middle_name": "MARIE",
        "credential": "CMT, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW00001169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.