Individual provider Active NPI

Jeanene Jacobs Wolfe, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1669608444
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007144 Issued in VA
Practice address
715 9TH St
Virginia Beach, VA 23451-4501
Phone
(757) 515-2693
Fax
(757) 414-9007
NPI assigned
Jun 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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 0904007144 VA Primary

Addresses

Primary practice location

715 9TH St
Virginia Beach, VA 23451-4501

Mailing address

715 9TH St
Virginia Beach, VA 23451-4501
Phone (757) 515-2693

Other identifiers 2

IdentifierTypeStateIssuer
020206F27OtherVAMEDICARE PTAN
Q50959F332OtherVAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20090722000183 VA Practitioner - Clinical Social Worker 0143372177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

715 9TH St
Virginia Beach, VA 23451-4501
Phone (757) 636-7436

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904007144VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Attune Psychotherapy LLC CurrentSince Jun 30, 2024 Accepting new patients
Jeanene J Wolfe, LCSW LLC CurrentSince Dec 14, 2015 Accepting new patients

Locations

1213 Laskin Rd
Ste 106
Virginia Beach, VA 23451
Phone (757) 333-1548

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": "1244246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1669608444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 9TH ST",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234514501",
            "telephone_number": "757-515-2693",
            "fax_number": "757-414-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 9TH ST",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234514501",
            "telephone_number": "757-515-2693",
            "fax_number": "757-414-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "JEANENE",
        "middle_name": "JACOBS",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-06",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "020206F27",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Q50959F332",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.