Melissa Diane Wolfdane, LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

15387 Issued in TX

Practice address

1747 Citadel PLZ Ste 205
San Antonio, TX 78209-1017

Phone

(210) 251-6645

NPI assigned

Sep 30, 2021

Last updated

Sep 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1083386866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 CITADEL PLZ STE 205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 CITADEL PLZ STE 205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091017",
            "telephone_number": "210-251-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFDANE",
        "first_name": "MELISSA",
        "middle_name": "DIANE",
        "credential": "LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "15387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwolfdane@icloud.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1747 Citadell Plaza",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kara Joy Wolf, M.A., CCC-SLP
• Kate Wolf
• Lindsay Wolf
• Sara Wolf
• Stephanie L Wolf, CRNA
• Yolanda G Wolfdane, LCDC
• Adam D Wolfe, M.D., PH.D.
• Albert Wolfe Jr.
• Alisha Wolfe
• Gilbert Wallace Wolfe, CRNA

• Addiction (Substance Use Disorder) Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.