Provider Demographics
NPI:1285838045
Name:WOLFE, RODNEY LOVELL (BSW)
Entity Type:Individual
Prefix:MR
First Name:RODNEY
Middle Name:LOVELL
Last Name:WOLFE
Suffix:
Gender:M
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:332 YORKSHIRE TRCE
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:GA
Mailing Address - Zip Code:30228-4804
Mailing Address - Country:US
Mailing Address - Phone:404-399-9362
Mailing Address - Fax:
Practice Address - Street 1:430 CENTENNIAL OLYMPIC PARK DR NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30313-2203
Practice Address - Country:US
Practice Address - Phone:404-607-1064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker