Lily Elizabeth Wolf, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW007468 Issued in GA

Practice address

5775 Glenridge Dr Ste 310
Atlanta, GA 30328-5380

Phone

(216) 245-5590

NPI assigned

Oct 21, 2017

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": "1508544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1205347945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 GLENRIDGE DR STE 310",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285380",
            "telephone_number": "347-563-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 GLENRIDGE DR STE 310",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285380",
            "telephone_number": "216-245-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "LILY",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-21",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1701084",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wolexo Management LLC
• Carol Faye Wolf, P.T.
• Douglas C. Wolf, MD
• Francis A Wolf, MD
• Joshua H. Wolf, MD
• Mattie Feasel Wolf, M.D.
• Megan Brooke Wolf, FNP-C
• Michael Wolf, MD
• Rena Wolf, CNIM
• Steven L Wolf, PT

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.