MEDICARE: MS. LEAH WOLFF LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	149030133	IL
2	1041C0700X	Clinical Social Worker	59609	CA

General Provider Information

NPI Number	:	1366870651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LEAH WOLFF LCSW

Provider Business Mailing Address
First Line	:	345 AUBURN AVE
Second Line	:
City	:	WINNETKA
State	:	IL
Zip	:	60093-3603
Country	:	US
Telephone Number	:	323-783-2600
Fax Number	:

Provider Business Practice Location Address
First Line	:	345 AUBURN AVE
Second Line	:
City	:	WINNETKA
State	:	IL
Zip	:	60093-3603
Country	:	US
Telephone Number	:	213-590-4915
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2013
Last Update Date	:	03/18/2026

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