MM Wolfe Psychotherapy, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MM WOLFE PSYCHOTHERAPY, PLLC

Practice address

624 W Nepessing St Ste 203
Lapeer, MI 48446-2088

Phone

(810) 441-9605

NPI assigned

Jun 21, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melody Munro-Wolfe, L.M.S.W.NPI 1922105030

Title

Social Worker/Psychotherapist

Phone

(810) 441-9605

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melody Munro-Wolfe, LMSW

  • Clinical Social Worker
  • Lapeer, MI
  • NPI 1922105030
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727568000000",
    "number": "1891356739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 W NEPESSING ST STE 203",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462088",
            "telephone_number": "810-302-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W NEPESSING ST STE 203",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462088",
            "telephone_number": "810-441-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MM WOLFE PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-21",
        "last_updated": "2024-09-29",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "MUNRO-WOLFE",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "SOCIAL WORKER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "810-441-9605",
        "authorized_official_credential": "L.M.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Mingo
• David Joseph Misura, RPH
• Nicole Heather Mitchell, DPT
• Alexandra Mititelu
• Mayo Mitsuya, DO
• Katie Moore
• Mackenzie Moore
• John Alan Moran, CRNA
• Jeremiah Morell
• Merenda Morey

• Clinical Social Worker in Lapeer, MI
• Providers in Lapeer, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.