Shauna Wolf, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149023408 Issued in IL

Practice address

100 Illinois St Ste 200
St Charles, IL 60174-1867

Phone

(630) 277-9731

Fax

(630) 277-9731

NPI assigned

Jan 3, 2022

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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

• Sierra Wellness Therapy LLC

  • Clinical Social Worker
  • St Charles, IL
  • NPI 1871391326
  NPD Authorized official

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1861153702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ILLINOIS ST STE 200",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741867",
            "telephone_number": "630-277-9731",
            "fax_number": "630-277-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ILLINOIS ST STE 200",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741867",
            "telephone_number": "630-277-9731",
            "fax_number": "630-277-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "SHAUNA",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149023408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Witkowski
• Nicole M Witte, MD
• Aaron Jacob Witz, LMT
• Brianna Olivia Woheel
• Sara Renee Wohlgemuth, M.S. CCC-SLP
• Thomas Robert Wolfsmith
• Celina Wollak, LCSW
• Jeffrey M C Wong, D.C.
• Shelby Ryan Woods
• Autumn Wouk

• Clinical Social Worker in St Charles, IL
• Providers in St Charles, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.