Individual provider Active NPI

Amy D. Wolf, LICSW

  • Clinical Social Worker
  • Provincetown, MA
National Provider Identifier
1831214121
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110885 Issued in MA
Practice address
49 Harry Kemp Way
Provincetown, MA 02657-1618
Phone
(508) 487-9395
Fax
(508) 487-6298
NPI assigned
Mar 19, 2007
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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 110885 MA Primary

Addresses

Primary practice location

49 Harry Kemp Way
Provincetown, MA 02657-1618

Mailing address

PO Box 2796
Orleans, MA 02653-6796
Phone (508) 905-2434

Other practice location 1

2700 State Highway Route 6
Unit 2
Wellfleet, MA 02667
Phone (508) 905-2434

Other identifiers 1

IdentifierTypeStateIssuer
110032495BMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20071227000350 MA Practitioner - Clinical Social Worker 2961582267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Outer Cape Health Services IncGroup PAC ID 4385554971, 51 clinicians

Practice addresses (Care Compare)

49 Harry Kemp Way
Provincetown, MA 02657-1618
Phone (508) 487-9395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110885MAMDClinical Social Worker

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1831214121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2796",
            "city": "ORLEANS",
            "state": "MA",
            "postal_code": "026536796",
            "telephone_number": "508-905-2434",
            "fax_number": "508-905-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 HARRY KEMP WAY",
            "city": "PROVINCETOWN",
            "state": "MA",
            "postal_code": "026571618",
            "telephone_number": "508-487-9395",
            "fax_number": "508-487-6298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 State Highway Route 6",
            "address_2": "Unit 2",
            "address_purpose": "LOCATION",
            "city": "Wellfleet",
            "state": "MA",
            "postal_code": "02667",
            "country_code": "US",
            "telephone_number": "508-905-2434",
            "fax_number": "508-905-2855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLF",
        "first_name": "AMY",
        "middle_name": "D.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110032495B",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Provincetown, MA

Sources for this page

Verify at the official NPI Registry.