MEDICARE: ELIZABETH KRISTINA WOLF LLMSW

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	104100000X	Social Worker	6851120760	MI

General Provider Information

NPI Number	:	1659259661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH KRISTINA WOLF LLMSW

Provider Business Mailing Address
First Line	:	115 W ALLEGAN ST FL 7
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48933-1717
Country	:	US
Telephone Number	:	248-233-3994
Fax Number	:	517-481-2271

Provider Business Practice Location Address
First Line	:	115 W ALLEGAN ST FL 7
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48933-1717
Country	:	US
Telephone Number	:	248-233-3994
Fax Number	:	517-481-2271

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

Provider Enumeration Date	:	08/26/2025
Last Update Date	:	08/26/2025

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