Active NPI
Warren Randal Taylor Wolfe III, MSW, LCSW
- Student in an Organized Health Care Education/Training Program
- Winston Salem, NC
National Provider Identifier
1952989014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1920 W 1St St
Winston Salem, NC 27104-4220 - Phone
- (336) 716-4479
- NPI assigned
- Mar 31, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904009666 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NC | Primary |
Addresses
Primary practice location
1920 W 1St St
Winston Salem, NC 27104-4220
Mailing address
2333 Ardmore Ter Apt D
Winston Salem, NC 27103-2100
Phone (540) 256-7989
Other practice location 1
136 W Elizabeth St
Harrisonburg, VA 22802-3811
Phone (540) 564-5104
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260614000155 | NC | Order and Referring Only - Family Practice | 8224438494 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904009666 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1952989014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2333 ARDMORE TER APT D",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271032100",
"telephone_number": "540-256-7989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 W 1ST ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271044220",
"telephone_number": "336-716-4479"
}
],
"practiceLocations": [
{
"address_1": "136 W Elizabeth St",
"address_purpose": "LOCATION",
"city": "Harrisonburg",
"state": "VA",
"postal_code": "228023811",
"country_code": "US",
"telephone_number": "540-564-5104",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLFE",
"first_name": "WARREN",
"middle_name": "RANDAL TAYLOR",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-31",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904009666",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.