Healthcare Provider Details

I. General information

NPI: 1871621789
Provider Name (Legal Business Name): KIMBERLY J WOLFE LICSW/LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIMBERLY J PARROTTE LICSW/LCSW-C

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 09/11/2025
Certification Date: 01/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5247 WISCONSIN AVE NW STE 4
WASHINGTON DC
20015-2012
US

IV. Provider business mailing address

5247 WISCONSIN AVE NW STE 4
WASHINGTON DC
20015-2012
US

V. Phone/Fax

Practice location:
  • Phone: 202-686-7699
  • Fax: 202-362-9633
Mailing address:
  • Phone: 202-686-7699
  • Fax: 202-362-9633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number09482
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: