Individual provider Active NPI

Renee Wolf, MSW, LCSW

  • Clinical Social Worker
  • Mooresville, NC
National Provider Identifier
1932568631
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009997 Issued in NC
Practice address
200 Elrosa Rd
Mooresville, NC 28115-5812
Phone
(407) 782-3494
NPI assigned
Feb 23, 2016
Last updated
Feb 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C009997 NC Primary

Addresses

Primary practice location

200 Elrosa Rd
Mooresville, NC 28115-5812

Mailing address

200 Elrosa Rd
Mooresville, NC 28115-5812
Phone (407) 782-3494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180424002533 NC Practitioner - Clinical Social Worker 7214290386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

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

150 Fairview Rd
Suite 310
Mooresville, NC 28117-9513
Phone (704) 610-2455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Renee J Wolf Inc Clinical CurrentSince Mar 1, 2022 Accepting new patients

Locations

109 Professional Park Dr
Ste 100
Mooresville, NC 28117
Phone (407) 782-3494

150 Fairview Rd
Ste 310
Mooresville, NC 28117
Phone (407) 782-3494

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1932568631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ELROSA RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281155812",
            "telephone_number": "407-782-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ELROSA RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281155812",
            "telephone_number": "407-782-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "RENEE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.