Doctor Name: | DOROTHEA ANNE WOLF |
NPI Number: | 1003099698 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 2025500 |
Business Practice Address: | 126 Phoenix Ave Lowell, MA - 018524931 |
Business Phone Number: | 9784538331 |
Business Fax Number: | 9784539254 |
Mailing Address: | 126 Phoenix Ave, LOWELL |
State: | MA |
Postal Code: | 018524931 |
Phone Number: | 9784538331 |
Fax Number: | 9784539254 |
NPI Enumeration Date: | 12/06/2007 |
NPI Last Update Date: | 12/06/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2025500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |