Michelle Antonina Dewolfe, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

110683 Issued in TX

Practice address

3961 Holiday Dr
Colleyville, TX 76034-4693

Phone

(817) 881-3884

NPI assigned

Feb 22, 2024

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

Enrolled in TX

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

Specialty

Clinical Social Worker

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Psyched to Help LLC

  • Social Worker
  • Colleyville, TX
  • NPI 1306799218
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1659137149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 W SOUTHLAKE BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3961 HOLIDAY DR",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760344693",
            "telephone_number": "817-881-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWOLFE",
        "first_name": "MICHELLE",
        "middle_name": "ANTONINA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "110683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Health Associates of TX, P.C.
• Dental SC, PLLC
• Dermatology Experts of Texas PLLC
• Desert Sky Holdings LLC
• Developmental Neuropsychology Services, PLLC
• DFW Apple Dental, PC
• DFW Prompt Care PA
• Nicole Diamond, PT, DPT
• Jamie L Diaz, LPCS
• Phelan Edain Dickerson, LPC

• Social Worker in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.

Verify at the official NPI Registry.