Active NPI
Roger Loring Wolfe, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1760810014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PR016110-1
- Practice address
- 185 West End Avenue
Suite 1J
New York, NY 10023 - Phone
- (212) 362-8512
- NPI assigned
- Oct 24, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PR016110-1 | NY | Primary |
Addresses
Primary practice location
185 West End Avenue
Suite 1J
New York, NY 10023
Mailing address
185 West End Avenue
Suite 1J
New York, NY 10023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR016110-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382572800000",
"number": "1760810014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 WEST END AVENUE",
"address_2": "SUITE 1J",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 WEST END AVENUE",
"address_2": "SUITE 1J",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10023",
"telephone_number": "212-362-8512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "ROGER",
"middle_name": "LORING",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-24",
"last_updated": "2013-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "PR016110-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.