Individual provider Active NPI

Peggy Langley Wolfe, LCSW-C

  • Clinical Social Worker
  • Henderson, NV
National Provider Identifier
1558470245
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11157 Issued in MD
Practice address
2410 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052-2734
Phone
(702) 803-0797
NPI assigned
Aug 29, 2006
Last updated
Apr 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11157 MD
Social Worker 104100000X 11157 MD
Clinical Social Worker 1041C0700X 11157 MD Primary
Mental Health Counselor 101YM0800X 7080-C NV
Clinical Social Worker 1041C0700X 7080-C NV

Addresses

Primary practice location

2410 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052-2734

Mailing address

2410 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052-2734
Phone (702) 803-0797

Other identifiers 3

IdentifierTypeStateIssuer
7080-COtherNVLICENSE
20-4892540OtherMDTAX IDENTIFICATION NUMBER
11157OtherMDMARYLAND MSW LICENSE #

Other names 1

  • Mrs. Peggy Wolfe Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20160707000709 NV Practitioner - Clinical Social Worker 2961505714 Practice locations: Henderson, NV

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10120 S Eastern Ave
Suite 236
Henderson, NV 89052-3951
Phone (702) 803-0797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11157MDMDSocial Worker
7080-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peggy Langley-Wolfe PLLC Clinical PastSince Apr 19, 2016 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1558470245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 W HORIZON RIDGE PKWY",
            "address_2": "STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522734",
            "telephone_number": "702-803-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 W HORIZON RIDGE PKWY",
            "address_2": "STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522734",
            "telephone_number": "702-803-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGLEY WOLFE",
        "first_name": "PEGGY",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "11157",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "11157",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11157",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "7080-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "7080-C",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "7080-C",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "20-4892540",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND MSW LICENSE #",
            "identifier": "11157",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEGGY",
            "last_name": "WOLFE",
            "prefix": "MRS.",
            "credential": "L.C.S.W-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.