Provider Demographics
NPI:1811167539
Name:WOLF, KAREN LYNNE (LCSW)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:LYNNE
Last Name:WOLF
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 1:9201 E MISSISSIPPI AVE
Mailing Address - Street 2:M-201
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-6832
Mailing Address - Country:US
Mailing Address - Phone:303-548-7783
Mailing Address - Fax:
Practice Address - Street 1:2950 TENNYSON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80212-3029
Practice Address - Country:US
Practice Address - Phone:720-855-3472
Practice Address - Fax:303-433-9701
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-10
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW-10231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical