Conny Wulff, MSW, LCSW, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

C008462 Issued in NC

Legal business name

CONNY WULFF, MSW, LCSW, PLLC

Practice address

105 E Center St
Ste B-11
Mebane, NC 27302-2420

Phone

(336) 485-8215

Fax

(336) 346-2975

NPI assigned

Mar 28, 2017

Organization subpart

No

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

Authorized official

Name

Constance Wulff, LCSW

Title

Owner/Therapist

Phone

(336) 485-8215

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Sellers-Harty, MSW, LCSW

  • Clinical Social Worker
  • Greensboro, NC
  • NPI 1063693810
  NPD (past)

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1346772571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E CENTER ST",
            "address_2": "STE B-11",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273022420",
            "telephone_number": "336-485-8215",
            "fax_number": "336-346-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E CENTER ST",
            "address_2": "STE B-11",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273022420",
            "telephone_number": "336-485-8215",
            "fax_number": "336-346-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNY WULFF, MSW, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "WULFF",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "336-485-8215",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C008462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114261922",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clyburn Family Living, LLC
• Michael Isaiah Cole
• Rodney Lavon Coleman, DMIN
• Carol Ann Collins
• Compass Healthcare and Rehab Hawfields, Inc
• Elizabeth Cooper, LPA
• Richard E. Cooper, M.D.
• Tara Lynn Corbett, D.C.
• Shannon Hiatt Coward, NP
• Kristina Marie Cronin, FNP-C

• Community/Behavioral Health Agency in Mebane, NC
• Providers in Mebane, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.