Timothy Jonathan Wulff I, L.M.S.W., A.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801089169 Issued in MI

Practice address

4990 Northwind Dr Ste 240
East Lansing, MI 48823-5091

Phone

(517) 853-2992

Fax

(517) 853-2993

NPI assigned

Sep 18, 2007

Last updated

Sep 15, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Beacon Counseling Services LLC

  • Clinical Social Worker
  • East Lansing, MI
  • NPI 1881745990
  NPD (past)
• Comprehensive Psychological Service, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • East Lansing, MI
  • NPI 1689211153
  NPD (past)

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1093901605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 NORTHWIND DR STE 240",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235091",
            "telephone_number": "517-853-2992",
            "fax_number": "517-853-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 NORTHWIND DR STE 240",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235091",
            "telephone_number": "517-853-2992",
            "fax_number": "517-853-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WULFF",
        "first_name": "TIMOTHY",
        "middle_name": "JONATHAN",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "L.M.S.W., A.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-18",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Jeanette Wright, LLPC
• WST Counseling LLC
• Ying-Ying Grace Wu, M.D.
• Daniel Wulfekuhler
• Louis E Wulfekuhler, MD
• Normand Xavier
• Yi Yao Xia, RPH
• Jake Yanez
• Chun-Ching Yang, MA, LMT
• Nieisha Yarbrough

• Clinical Social Worker in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.