MS. JENAE LYN WOLF (NPI# 1083985790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083985790 |
| Entity Type | Individual |
| Full Name | MS. JENAE LYN WOLF |
| Credential | MA,CCC,SLP |
| Practice Address |
14701 Detroit Ave Lakewood OH 44107-4115 |
| Mailing Address |
1929 E Royalton Rd Ste A Broadview Heights OH 44147-2868 |
| Practice Telephone | 4408380990 |
| Practice Fax Number | 4408388440 |
| Mailing Telephone | 4408380990 |
| Mailing Fax Number | 4408388440 |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SP-10551 | OH | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0849916 | 05 |
| Street Address |
14701 DETROIT AVE |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-4115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778142 | Richard Allen Statesir | Ophthalmology | 14701 Detroit Ave, Ste 280, Lakewood, OH 44107-4109 | 2005-05-28 |
| 1083277115 | Daniel Vilamaa | Case Manager/Care Coordinator | 14701 Detroit Ave, Lakewood, OH 44107-4115 | 2019-04-15 |
| 1063970713 | Jacob W Loughner | Case Manager/Care Coordinator | 14701 Detroit Ave, Lakewood, OH 44107-4115 | 2019-03-12 |
| 1629585252 | Michael Patrick Wallett | Hearing Instrument Specialist | 14701 Detroit Ave, Lakewood, OH 44107-4115 | 2018-01-04 |
| 1972019644 | Joseph M Guzzi | Hearing Instrument Specialist | 14701 Detroit Ave, Lakewood, OH 44107-4115 | 2017-12-18 |
| 1962877340 | Sara Scarborough | Speech-Language Pathologist | 14701 Detroit Ave, Lakewood, OH 44107-4115 | 2015-12-10 |
| 1477958775 | Deniz F. Koprulu | Nurse Practitioner | 14701 Detroit Ave, Suite 620, Lakewood, OH 44107-4115 | 2014-10-29 |
| 1396149662 | Michelle Scianna | Nurse Practitioner | 14701 Detroit Ave, Suite 522, Lakewood, OH 44107-4115 | 2014-10-15 |
| 1275933780 | Lakewood Dermatology | Dermatology | 14701 Detroit Ave, Suite 208, Lakewood, OH 44107-4115 | 2014-09-03 |
| 1558786871 | Sara Walter Floreth | Counselor | 14701 Detroit Ave, Lakewood, OH 44107-4115 | 2014-02-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
| 1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
| 1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
| 1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
| Find all providers in zip 44107 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689280315 | Tzipora Loewy | Speech-Language Pathologist | 424 9th St Apt 12, Lakewood, NJ 08701-2612 | 2020-09-17 |
| 1861005894 | Ellen Ratigan | Speech-Language Pathologist | 756 Holland St, Lakewood, CO 80215-5888 | 2020-08-28 |
| 1790395705 | Miri Schmookler | Speech-Language Pathologist | 13 Flannery Ave, Lakewood, NJ 08701-4751 | 2020-08-04 |
| 1194333609 | Rivka Katz | Speech-Language Pathologist | 32 Finchley Blvd, Lakewood, NJ 08701-5522 | 2020-07-21 |
| 1760009294 | Yael Herskovits | Speech-Language Pathologist | 4 Kenyon Dr, Lakewood, NJ 08701-4753 | 2020-06-30 |
| 1679199566 | Alta Vista Center for Autism | Speech-Language Pathologist | 2001 Hoyt Street, Lakewood, CO 80215 | 2020-06-17 |
| 1326662453 | Axis Teletherapy | Speech-Language Pathologist | 36 Glen Ave, Lakewood, NJ 08701-3055 | 2020-06-04 |
| 1003442047 | Melissa Smith | Speech-Language Pathologist | 1451 Rosewood Ave, Lakewood, OH 44107-3733 | 2020-03-22 |
| 1578199352 | Elbereth Gilthoniel Lorenz | Speech-Language Pathologist | 10320 Farwest Dr Sw, Lakewood, WA 98498-1799 | 2020-03-12 |
| 1700418241 | Kaela Delperdang | Speech-Language Pathologist | 620 S Vance St Unit 1218, Lakewood, CO 80226-5021 | 2020-02-12 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.