MR. PETER C WOLF (MSW) – Clinical Social Worker, NPI 1124010137

MR. PETER C WOLF (MSW) is a healthcare provider. based in Detroit, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW. They hold a License No. 6801077207 (MI). The NPI Number for MR. PETER C WOLF (MSW) is 1124010137

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
MR. PETER C WOLF (MSW)
NPI
1124010137
Phone
(313) 415-0479
Address
17146 FAIRFIELD ST
Enumeration Date
16 August 2005
Last Update Date
8 November 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2485944991
Graduation Year
1998 (28 years ago)
PAC ID
5496779241
Group Practice PAC ID
0941648463
Professional Enrollment ID
I20060119000205
Address ID
MI480254321BI31000RDXX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

4,820 CLINICAL SOCIAL WORKER in MI

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Provider Addresses for MR. PETER C WOLF (MSW)

  • 17146 FAIRFIELD ST

    DETROIT, MI 482213022

    Phone: (313) 415-0479

    Type: Mailing

  • Telegraph Road, Bingham Farms, Southfield Township, Oakland County, Michigan, 48301, United States

    SUITE 120

    BINGHAM FARMS, MI 480254360

    Phone: (248) 553-8550

    Fax: (734) 454-3570

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-01-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060119000205IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48221)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941648463View full group profile
NameSpecialtyState
Clinical Social WorkerMI
P S Y C H I A T R YMI
Clinical Social WorkerMI
Clinical Social WorkerIN
P S Y C H I A T R YMI
Clinical Social WorkerMI
Mental Health CounselorOR
Clinical PsychologistOR
Marriage And Family TherapistWA
Clinical Social WorkerMN

Reviews

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Frequently asked questions

Is there an official ID for MR. PETER C WOLF (MSW) in U.S. healthcare records?
The official identifier for MR. PETER C WOLF (MSW) is NPI 1124010137.
Is there an active status for MR. PETER C WOLF (MSW)?
For scheduling context, MR. PETER C WOLF (MSW) is shown as active in the registry.
What clinical focus is listed for MR. PETER C WOLF (MSW)?
At a glance, MR. PETER C WOLF (MSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MR. PETER C WOLF (MSW) associated with Detroit?
Public fields place MR. PETER C WOLF (MSW) around Detroit, Michigan. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.