JACK E WOLFF


Address: 2934 Carlton Dr Nw, Warren, OH 44485-1220
Phone: 2348305275

JACK E WOLFF (NPI# 1265068498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265068498
Entity Type Individual
Full Name JACK E WOLFF
Credential PEER SUPPORT
Practice Address 2934 Carlton Dr Nw
Warren
OH 44485-1220
Practice Telephone 2348305275
Mailing Telephone 2348305275
Enumeration Date 2020-03-19
Last Update Date 2020-03-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 2934 CARLTON DR NW
City WARREN
State OH
Zip Code 44485-1220

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780284752 Heather Lynn Ayres Technician 4046 North Leavitt Rd Nw, Warren, OH 44485 2020-10-29
1730576315 Jeanetta Chatmon Community Health Worker 1447 Kensington St. Nw, Warren, OH 44485 2015-04-21
1003201351 Laneka Oliver Home Health 1655 Denison Ave, Warren, OH 44485 2015-04-03
1437401155 Rhoda Darlene Killingworth Nurse's Aide 1510 Arthur Dr Nw, Warren, OH 44485 2012-10-04
1477844033 Lakshmi Padmanabhan Pharmacist 1560 Parkman Road, Rite Aid Pharmacy, Warren, OH 44485 2011-04-29
1225332422 Dashah Brendae Adams Licensed Practical Nurse 3270 Dunstan Dr. Nw, Warren, OH 44485 2011-01-03
1982854188 Deanna Lynne Nussle Registered Nurse 1480 Tod Ave, Warren, OH 44485 2008-09-24
1003093170 Kila E Mcghee Home Health 1108 Tod Ave Nw, Warren, OH 44485 2008-01-30
1639372816 Stella L Reese Home Health Aide 1890 Northfield Nw, Attn Karen Morgan, Warren, OH 44485 2007-06-06
1417016239 Laura Marie Buck Counselor Louis Stokes Cleveland Medical Center, 1406 Tod Ave Nw Warren Va Cboc, Warren, OH 44485 2006-12-07
Find all providers in zip 44485

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437760493 Laura Maria Devengencie Peer Specialist 3003 Halsey Dr Ne, Warren, OH 44483-5611 2020-08-13
1114545480 Cory Lee Wright Peer Specialist 419 North St Nw, Warren, OH 44483-3721 2020-07-13
1417572850 Kimberly Lee Slater Peer Specialist 709 Mahoning Ave Nw, Warren, OH 44483 2020-06-11
1427697788 Kristina Ann Bridgens Peer Specialist 1916 Clermont Ave Ne, Warren, OH 44483-3524 2020-01-03
1508404682 Jerry Silhan Peer Specialist 730 Paige Ave Ne, Warren, OH 44483-4951 2019-12-19
1043852759 Cody A Wright Peer Specialist 2307 Central Parkway Ave Se, Warren, OH 44484-5240 2019-10-14
1225638208 Quiana Dodson Peer Specialist 552 N Park Ave, Warren, OH 44481-1117 2020-10-28
1174157507 Angela Olivo Peer Specialist 2737 Youngstown Rd Se, Warren, OH 44484-5002 2020-02-25
1336782044 Anna Lacy Peer Specialist 2737 Youngstown Rd Se, Warren, OH 44484-5002 2019-10-25
1619510526 Jarreth Ackerman Peer Specialist 2737 Youngstown Rd Se, Warren, OH 44484-5002 2019-10-23
Find all providers in WARREN

Competitor

Search similar providers

City WARREN
Zip Code 44485

Improve Information

Please comment or provide details below to improve the information on JACK E WOLFF.

Dataset Information

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.

Trending Searches