Healthcare Provider Details

I. General information

NPI: 1720141062
Provider Name (Legal Business Name): MARGO EILEEN WOLF RN, MSW, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 S HOWARD ST STE 321
SPOKANE WA
99201-3816
US

IV. Provider business mailing address

PO BOX 719
NEWMAN LAKE WA
99025-0719
US

V. Phone/Fax

Practice location:
  • Phone: 509-838-4128
  • Fax: 509-838-4816
Mailing address:
  • Phone: 509-226-2079
  • Fax: 509-838-4816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH00008762
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberRC00040383
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00071741
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: