Individual provider Active NPI

Daniel Wolz

  • Clinical Social Worker
  • Saint Charles, MO
National Provider Identifier
1386372829
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2020042702 Issued in MO
Practice address
32A Lee Dr
Saint Charles, MO 63301-0534
Phone
(636) 577-3377
NPI assigned
Aug 11, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2020042702 MO Primary

Addresses

Primary practice location

32A Lee Dr
Saint Charles, MO 63301-0534

Mailing address

32A Lee Dr
Saint Charles, MO 63301-0534
Phone (636) 577-3377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251124000214 MO Practitioner - Clinical Social Worker 0345732715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1800 Community
Clinton, MO 64735-8804

32 A Lee Dr
Saint Charles, MO 63301-0534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020042702MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health, Inc Clinical CurrentSince Nov 24, 2025 Accepting new patients
Compass Health, Inc CurrentSince Nov 24, 2025 Accepting new patients

Locations

1800 Community
#B
Clinton, MO 64735

102 Compass Point Dr
Saint Charles, MO 63301
Phone (636) 332-8318

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1386372829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32A LEE DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633010534",
            "telephone_number": "636-577-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32A LEE DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633010534",
            "telephone_number": "636-577-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLZ",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2020042702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.