Individual provider Active NPI

Elizabeth Wolske, LSW, MSW

  • Clinical Social Worker
  • Chadds Ford, PA
National Provider Identifier
1821643503
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
130689 Issued in PA
Practice address
330 Kennett Pike
Chadds Ford, PA 19317-8238
Phone
(484) 352-3028
NPI assigned
Aug 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 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 130689 PA Primary

Addresses

Primary practice location

330 Kennett Pike
Chadds Ford, PA 19317-8238

Mailing address

330 Kennett Pike Ste 205B
Chadds Ford, PA 19317-8217
Phone (484) 352-3028

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

LicenseStateTypeSpecialty
130689PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1821643503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 KENNETT PIKE STE 205B",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193178217",
            "telephone_number": "484-352-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 KENNETT PIKE",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193178238",
            "telephone_number": "484-352-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLSKE",
        "first_name": "ELIZABETH",
        "credential": "LSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "130689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chadds Ford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.