James Michael Wolf Jr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2007029214 Issued in MO

Practice address

1212 W Lombard St
Springfield, MO 65806-2720

Phone

(417) 865-1646

Fax

(417) 866-1483

NPI assigned

Sep 26, 2007

Sex

Male

Sole proprietor

Yes

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

Interoperability endpoints

• Direct secure messaging: james.wolf.p1@direct.jordanvalley.nextgenshare.com

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.

• Advocates for a Healthy Community, Inc.

  • Federally Qualified Health Center (FQHC)
  • Springfield, MO
  • NPI 1366575573
  NPD (past)

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1295922078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 COLBY ST",
            "city": "WILLARD",
            "state": "MO",
            "postal_code": "657818360",
            "telephone_number": "417-685-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 W LOMBARD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658062720",
            "telephone_number": "417-865-1646",
            "fax_number": "417-866-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-26",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2007029214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Witty, PHD
• Tracy Athene Wofford, PLPC
• Deanna M Wolf, PSYD, LP
• George Richard Wolf, DDS
• Haley Wolf, M.D.
• Joshua George Wolf, PHARM.D.
• Patricia Wolf
• Sara Shryack Wolf, LCSW
• Alexis L Wolfe, PT, DPT, LAT, ATC
• Camille Suzanne Wolfe

• Clinical Social Worker in Springfield, MO
• Providers in Springfield, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.