Janis L Wolf, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149007080 Issued in IL

Practice address

501 Lake Land Blvd
Mattoon, IL 61938-5283

Phone

(217) 258-3370

Fax

(217) 258-3379

NPI assigned

Feb 28, 2008

Sex

Female

Sole proprietor

No

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

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.

• Care Horizon Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Toledo, IL
  • NPI 1164633012
  NPD (past)

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1497924914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 LAKELAND BLVD",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384610",
            "telephone_number": "217-238-3370",
            "fax_number": "217-258-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 LAKE LAND BLVD",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619385283",
            "telephone_number": "217-258-3370",
            "fax_number": "217-258-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "JANIS",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149007080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Winograd, D.O.
• Ann Witges
• Nicole Wochner, APN
• Robert Wochner, MD
• Arielle A. Wolf, PA-C
• Mark Wolfe, MD
• Jasmyne Woll, RSA
• Sarah Joy Wood
• Abby M Worland, DC
• Kross Worrells

• Clinical Social Worker in Mattoon, IL
• Providers in Mattoon, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.