Active NPI
Peggy Langley Wolfe, LCSW-C
- Clinical Social Worker
- Henderson, NV
National Provider Identifier
1558470245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11157
- 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, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7080-C | Other | NV | LICENSE |
| 20-4892540 | Other | MD | TAX IDENTIFICATION NUMBER |
| 11157 | Other | MD | MARYLAND MSW LICENSE # |
Other names 1
- Mrs. Peggy Wolfe
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11157 | MD | MD | Social Worker |
| 7080-C | NV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peggy Langley-Wolfe PLLC | Clinical | Past | 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.
-
- Clinical Social Worker
- Henderson, NV
- NPI 1164872297
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.