Therese L Wolf, LCSW LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4101005479 Issued in MI

Practice address

22727 Barton St
Saint Clair Shores, MI 48081-2556

Phone

(586) 219-4011

NPI assigned

Jan 18, 2007

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

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1154473023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 806031",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480806031",
            "telephone_number": "586-219-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22727 BARTON ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480812556",
            "telephone_number": "586-219-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "THERESE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801021629",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101005479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamelia Leandra Wise, PT
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• Taniyah Marie Witcher I
• Christopher Witting, RPH MBA
• Michael Wodecki, PHARM.D.
• Necis Wolfhart
• Donald Gary Wolford, DDS
• Women to Women Health Center PC
• Leonard Yee Wong, DDS
• Carol L Wood-Zanchetta, D.C.

• Marriage & Family Therapist in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.