Laura Wolfe, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

993016 Issued in CO

Practice address

599 North Ave
Door 8 2ND Floor
Wakefield, MA 01880-1648

Phone

(781) 879-9784

NPI assigned

Feb 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Counseling and Conflict Resolution Services

  • Clinical Social Worker
  • Andover, MA
  • NPI 1295028975
  NPD (past) Authorized official
• DCS Mental Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Medford, MA
  • NPI 1215912894
  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1295700672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OLYMPIA WAY",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018102207",
            "telephone_number": "781-879-9784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 NORTH AVE",
            "address_2": "DOOR 8 2ND FLOOR",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801648",
            "telephone_number": "781-879-9784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "6079",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "993016",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113479",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PP0867",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen D. Willis, BS, PTA
• Ashley Wilson, PT, DPT
• Saroya Leanetta-Ann Wilson
• Daniel John Witkowski, MD
• Wiwat, P.C.
• Lian Wong
• Darnell Woodson
• Meghan Woodworth, OTR
• Linda Maxine Wroble, EDD
• Danielle Wunschel, COTA/L

• Clinical Social Worker in Wakefield, MA
• Providers in Wakefield, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.