| Jeanene J Wolfe, Lcsw Llc | |
|
715 9th St Virginia Beach VA 23451-4501 | |
| (757) 515-2693 | |
| (757) 414-9007 |
| Full Name | Jeanene J Wolfe, Lcsw Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 715 9th St, Virginia Beach, Virginia |
| Authorized Official Name and Position | Jeanene J Wolfe (LCSW/OWNER) |
| Authorized Official Contact | 7575152693 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanene J Wolfe, Lcsw Llc 715 9th St Virginia Beach VA 23451-4501 Ph: (757) 515-2693 | Jeanene J Wolfe, Lcsw Llc 715 9th St Virginia Beach VA 23451-4501 Ph: (757) 515-2693 |
| NPI Number | 1417313453 |
|---|---|
| Provider Enumeration Date | 01/06/2016 |
| Last Update Date | 10/21/2019 |
| Medicare PECOS PAC ID | 8426351677 |
|---|---|
| Medicare Enrollment ID | O20160121000590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417313453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0904007144 (Virginia) | Primary |
| Provider Name | Jeanene J Wolfe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669608444 PECOS PAC ID: 0143372177 Enrollment ID: I20090722000183 |
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