Provider Demographics
NPI:1932479995
Name:WOLFE, KATHERINE FALCONE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:FALCONE
Last Name:WOLFE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8268 PRIMANTI BLVD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-7413
Mailing Address - Country:US
Mailing Address - Phone:484-557-1529
Mailing Address - Fax:
Practice Address - Street 1:8268 PRIMANTI BLVD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-7413
Practice Address - Country:US
Practice Address - Phone:484-557-1529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-09
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0075761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical