Active NPI
Tonya Wolfe
- Clinical Social Worker
- Ridgway, PA
National Provider Identifier
1982073953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW018743
- Practice address
- 43 Servidea Dr
Ridgway, PA 15853-6333 - Phone
- (814) 776-2145
- Fax
- (814) 776-1470
- NPI assigned
- Sep 21, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW018743 | PA | Primary |
Addresses
Primary practice location
43 Servidea Dr
Ridgway, PA 15853-6333
Mailing address
763 Johnsonburg Rd
Saint Marys, PA 15857-3417
Phone (814) 389-4515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW018743 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442793600000",
"number": "1982073953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "763 JOHNSONBURG RD",
"city": "SAINT MARYS",
"state": "PA",
"postal_code": "158573417",
"telephone_number": "814-389-4515",
"fax_number": "814-781-8298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 SERVIDEA DR",
"city": "RIDGWAY",
"state": "PA",
"postal_code": "158536333",
"telephone_number": "814-776-2145",
"fax_number": "814-776-1470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "TONYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-21",
"last_updated": "2015-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW018743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgway, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.