Luar Adonis Wolf, CD, CBE, CLSC, CCHW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

20242 Issued in PA

Practice address

1101 Market St FL 9
Philadelphia, PA 19107-2910

Phone

(267) 402-8726

NPI assigned

Feb 5, 2024

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mazzoni Center

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1477631307
  NPD (past)

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1952164659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 S RANDOLPH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191474021",
            "telephone_number": "551-248-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MARKET ST FL 9",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072910",
            "telephone_number": "267-402-8726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1027 S Randolph St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191474021",
            "country_code": "US",
            "telephone_number": "551-248-2693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLF",
        "first_name": "LUAR",
        "middle_name": "ADONIS",
        "credential": "CD, CBE, CLSC, CCHW",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NY",
            "license": "20190410",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "OR",
            "license": "LW01",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "PA",
            "license": "20242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Wolf, PHD
• Judith E Wolf, MD
• Kelsey Lynn Wolf, PA
• Lindsey Wolf, M.D.
• Lindsey Anne Wolf, CRNP
• Margaret Alice Hilbert Wolf, MD
• Melissa Wolf, DAC., DIPL.AC.
• Michael Wolf, M.D.
• Michael J. Wolf, M.D.
• Nelson Wolf, MD

• Community Health Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community Health Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.