Jessica Wolfe, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JESSICA WOLFE, LCSW, LLC

Practice address

14135 N Cedarburg Rd
Mequon, WI 53097-1416

Phone

(414) 433-3877

NPI assigned

Feb 26, 2020

Organization subpart

No

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

Authorized official

Name

Jessica Wolfe, LCSWNPI 1447884721

Title

Sole Member

Phone

(414) 433-3877

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jessica Wolfe, LCSW

  • Clinical Social Worker
  • Mequon, WI
  • NPI 1447884721
  NPD Authorized official

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1386278661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14135 N CEDARBURG RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530971416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14135 N CEDARBURG RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530971416",
            "telephone_number": "414-433-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA WOLFE, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "414-433-3877",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Mequon, WI
• Providers in Mequon, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.