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General NPI Number Information
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NPI Number | 1871621789
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Entity Type | Individual
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Provider Name | KIMBERLY J WOLFE LICSW/LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 5247 WISCONSIN AVE NW STE 4
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City | WASHINGTON
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State | DC
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Zip | 20015-2012
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Country | US
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Telephone | 202-686-7699
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Fax | 202-362-9633
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Provider Business Mailing Address
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Address Line | 5247 WISCONSIN AVE NW STE 4
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City | WASHINGTON
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State | DC
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Zip | 20015-2012
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Country | US
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Telephone | 202-686-7699
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Fax | 202-362-9633
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 09482
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License Number State | MD
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