Organization Active NPI

Wolff Psychotherapy Services, LLC

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1902359615
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-08546 Issued in NM
Legal business name
WOLFF PSYCHOTHERAPY SERVICES, LLC
Practice address
6324 Loftus Ave NE
Albuquerque, NM 87109
Phone
(505) 369-6206
Fax
(505) 323-5651
NPI assigned
Jul 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Authorized official

Name
Ms. Pamela Ann Wolff, LCSW, LADAC
Title
President/Provider
Phone
(505) 507-1022

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 0179961 NM
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X C-08546 NM Primary

Addresses

Primary practice location

6324 Loftus Ave NE
Albuquerque, NM 87109

Mailing address

6324 Loftus Ave NE
Albuquerque, NM 87109-2718
Phone (505) 507-1022

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1902359615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6324 LOFTUS AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092718",
            "telephone_number": "505-507-1022",
            "fax_number": "505-323-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6324 LOFTUS AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-369-6206",
            "fax_number": "505-323-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFF PSYCHOTHERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT/PROVIDER",
        "authorized_official_telephone_number": "505-507-1022",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, LADAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0179961",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-08546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.