Active NPI
David Bruce Wolfe, LICSW
- Clinical Social Worker
- Bellevue, WA
National Provider Identifier
1770257610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW00005849
- Practice address
- 1231 116TH Ave NE Ste 410
Bellevue, WA 98004-3804 - Phone
- (424) 918-8241
- NPI assigned
- Aug 4, 2021
- Last updated
- Aug 4, 2021
- 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 | LW00005849 | WA | Primary |
Addresses
Primary practice location
1231 116TH Ave NE Ste 410
Bellevue, WA 98004-3804
Mailing address
15425 9TH PL W
Lynnwood, WA 98087-2650
Phone (206) 372-0510
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 |
|---|---|---|---|
| LW00005849 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1770257610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15425 9TH PL W",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980872650",
"telephone_number": "206-372-0510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 116TH AVE NE STE 410",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043804",
"telephone_number": "424-918-8241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "DAVID",
"middle_name": "BRUCE",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-04",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW00005849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.