MICAH SW WOLF NPI 1295450070

NPI Information

  • NPI: 1295450070
  • Provider Name: MICAH SW WOLF
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 71 WESTCOTT RD
    DANIELSON, CT
    ZIP 06239
  • Phone: (860) 774-7179

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NPI Details

Micah Sw Wolf is a professional counselor in Danielson, CT. Micah Sw Wolf NPI is 1295450070. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

71 WESTCOTT RD
DANIELSON, CT
ZIP 06239-929
Phone: (860) 774-7179
Fax: (860) 731-5536

The enumeration date for this NPI number is 10/5/2022 and was last updated on 10/5/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2101YP2500XCounselorProfessionalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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