Renee J Wolf Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RENEE J WOLF INC

Practice address

109 Professional Park Dr Ste 100
Mooresville, NC 28117-5538

Phone

(407) 782-3494

NPI assigned

Mar 23, 2022

Organization subpart

No

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

Authorized official

Name

Renee J Wolf, LCSWNPI 1932568631

Title

President

Phone

(407) 782-3494

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Renee Wolf, MSW, LCSW

  • Clinical Social Worker
  • Mooresville, NC
  • NPI 1932568631
  Medicare reassignment NPD Authorized official
• Kristina Richendollar, MSW, LCSW

  • Clinical Social Worker
  • Mooresville, NC
  • NPI 1306375209
  NPD
• Stephanie Kelley Czyryca, MSW

  • Clinical Social Worker
  • Mooresville, NC
  • NPI 1649193921
  NPD (past)
• Sara E Kuzma, LCMHCA

  • Mental Health Counselor
  • Mooresville, NC
  • NPI 1801721345
  NPD (past)
• David Michael Wood, LCMHC, LCAS

  • Mental Health Counselor
  • Mooresville, NC
  • NPI 1760148522
  NPD (past)

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1912656232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MONUMENT CT",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281153464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PROFESSIONAL PARK DR STE 100",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175538",
            "telephone_number": "407-782-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE J WOLF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-782-3494",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rehabilitation Medicine & Pain Center PC
• Khawaja A. Rehman, MD
• Bjorne Ronye' Czaja Reid, LCSW-A
• Relaxed Therapy PLLC
• Christina Elaine Remmers, MSW, LCSW-A
• Renew Physical Therapy LLC
• Renewal Counseling, PLLC
• Renewed Mobility Prosthetics and Orthotics, LLC
• Resource Care Alliance
• Resource Care Alliance, Inc

• Clinical Social Worker in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.