Provider Demographics
NPI:1366554008
Name:WOLFE, ANDREW KERRY (LCSW/C)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:KERRY
Last Name:WOLFE
Suffix:
Gender:M
Credentials:LCSW/C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5434 RING DOVE LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-1716
Mailing Address - Country:US
Mailing Address - Phone:410-730-2411
Mailing Address - Fax:
Practice Address - Street 1:VA MEDICAL CENTER 50 IRVING ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20422-0001
Practice Address - Country:US
Practice Address - Phone:202-745-8000
Practice Address - Fax:202-745-8169
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD056091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical