MARY K WOLF (LCSW) – Clinical Social Worker, NPI 1154308419

MARY K WOLF (LCSW) is a healthcare provider. based in Rochester, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 10287 (MN). The NPI Number for MARY K WOLF (LCSW) is 1154308419

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
MARY K WOLF (LCSW)
NPI
1154308419
Phone
(507) 284-2511
Address
200 1ST ST SW
Enumeration Date
28 December 2005
Last Update Date
3 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6086185560
Graduation Year
1997 (29 years ago)
PAC ID
9436280187
Group Practice PAC ID
1658720263
Professional Enrollment ID
I20160511001692
Address ID
WI535453941JA32XXXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

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Provider Addresses for MARY K WOLF (LCSW)

  • 1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Type: Mailing

  • 4450 Milton Ave Ste 206

    Janesville, WI 535469673

    Phone: (608) 618-5560

    Type: Location

  • 32 S MAIN ST

    JANESVILLE, WI 535453941

    Phone: (608) 618-5560

    Fax: (855) 277-9589

    Type: Mailing

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: 2016-05-11

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
I20160511001692IClinical Social WorkerWITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour12824$0
90791Psychiatric diagnostic evaluation1514$0
View full utilization report →

Insurance plans in this area (ZIP 55905)

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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: 1658720263View full group profile
NameSpecialtyState
Clinical Social WorkerWI
Mental Health CounselorWI

Reviews

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Frequently asked questions

Can I use this page to confirm MARY K WOLF (LCSW)'s NPI?
Yes. MARY K WOLF (LCSW) is listed with NPI 1154308419 in the public NPI dataset.
Is MARY K WOLF (LCSW) listed as active for patients and plans?
The listing shows MARY K WOLF (LCSW) as active in the NPI system.
What healthcare role does MARY K WOLF (LCSW) hold?
Scheduling teams often label MARY K WOLF (LCSW) under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What area does MARY K WOLF (LCSW) serve?
MARY K WOLF (LCSW)'s listing highlights Rochester, Minnesota; more addresses can appear in NPPES.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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