Mary K Wolf, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8260 Issued in WI

Practice address

32 S Main St
Janesville, WI 53545-3941

Phone

(608) 618-5560

Fax

(855) 277-9589

NPI assigned

Dec 28, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Mary K Trent Former name

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lotus Counseling, LLCGroup PAC ID 1658720263, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lotus Counseling, LLC

  dba Lotus

  • Clinical Social Worker
  • Janesville, WI
  • NPI 1972077527
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1154308419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 S MAIN ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535453941",
            "telephone_number": "608-618-5560",
            "fax_number": "855-277-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 S MAIN ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535453941",
            "telephone_number": "608-618-5560",
            "fax_number": "855-277-9589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4450 Milton Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Janesville",
            "state": "WI",
            "postal_code": "535469673",
            "country_code": "US",
            "telephone_number": "608-618-5560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLF",
        "first_name": "MARY",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "10287",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100053097",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101622900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "TRENT",
            "middle_name": "K",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wisconsin CVS Pharmacy LLC (CVS Pharmacy # 08551)
• Wisconsin Dental Group, S.C. (ForwardDental Janesville)
• Wisconsin Endodontics SC (Endodontic Specialists of Wisconsin - Janesville)
• Wisconsin Vision, LLC
• Christopher Lee Wistrom, D.O.
• Morgen Wolf, L.AC.
• Theresa Wolfe
• Kenneth M Wolnak, DO
• Daniel Wong, DDS
• Chad Lewis Woodman, LPC-IT

• Clinical Social Worker in Janesville, WI
• Providers in Janesville, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.