Active NPI
Constance Deborah Wolfe, LISW
- Clinical Social Worker
- Cleveland HTS, OH
National Provider Identifier
1841330016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I 3414
- Practice address
- 12429 Cedar Rd
Cleveland HTS, OH 44106-3199 - Phone
- (216) 791-8009
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | I 3414 | OH | Primary |
Addresses
Primary practice location
12429 Cedar Rd
Cleveland HTS, OH 44106-3199
Mailing address
2645 Haddam Rd
Cleveland, OH 44120-1531
Phone (216) 932-1979
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841330016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2645 HADDAM RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441201531",
"telephone_number": "216-932-1979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12429 CEDAR RD",
"city": "CLEVELAND HTS",
"state": "OH",
"postal_code": "441063199",
"telephone_number": "216-791-8009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "CONSTANCE",
"middle_name": "DEBORAH",
"name_prefix": "Ms.",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I 3414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.