Corina Penelope Wolfenstein, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

105845 Issued in TX

Practice address

18838 Stone Oak Pkwy Ste 201
San Antonio, TX 78258-4179

Phone

(210) 201-3878

NPI assigned

Sep 13, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Deep Tides Therapy PLLC

  • Social Worker
  • Georgetown, TX
  • NPI 1649076191
  NPD Authorized official

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1730858770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18838 STONE OAK PKWY STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584179",
            "telephone_number": "210-201-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18838 STONE OAK PKWY STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584179",
            "telephone_number": "210-201-3878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6411 Timberhill",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782382110",
            "country_code": "US",
            "telephone_number": "503-754-2817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFENSTEIN",
        "first_name": "CORINA",
        "middle_name": "PENELOPE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "105845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "simplepractice.com",
            "affiliation": "Y",
            "endpointDescription": "client portal",
            "affiliationName": "Monarch Behavioral Health PLLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "web based",
            "address_1": "18838 Stone Oak Pkwy Ste 201",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782584179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Justin Wolfe
• Olivia Yuan Wolfe, DDS
• Rachel Elaine Wolfe
• Sadeah Wolfe, OD
• Stephen C Wolfe, OD
• Wolff Therapy PLLC
• Justin Blake Wolff, M.A., LPC
• Maureen Wolff, BSN RN
• Patricia Buckelew Wolff, MSN,APRN,BC
• Jamieana Maria Erickson Wolford

• Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.