Lisa Wolf

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

085779 Issued in NY

Practice address

45 Route 25
Suite a-2
Shoreham, NY 11786

Phone

(646) 988-3159

NPI assigned

Oct 18, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1831600816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 624",
            "city": "SOUTHOLD",
            "state": "NY",
            "postal_code": "119710624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 ROUTE 25",
            "address_2": "SUITE A-2",
            "city": "SHOREHAM",
            "state": "NY",
            "postal_code": "11786",
            "telephone_number": "646-988-3159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 A East 96th St",
            "address_2": "Suite A-1",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10128",
            "country_code": "US",
            "telephone_number": "646-988-3159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLF",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Volz
• Dana Wachter, R.N
• Dawn Diane Ward, LMT
• Sharon Marie Wilutis, MASLPCCC
• Winthrop Community Medical Affiliates, PC (Shoreham Medical Services)
• Owen Yen
• Lyudmila Zhirnova, R.N.
• Allison Nicole Zirkel

• Clinical Social Worker in Shoreham, NY
• Providers in Shoreham, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.