Individual ProviderJill E WolkSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1085 Maple St, Farmington, MO 63640-1955(573) 747-2447(314) 206-3700PECOS EnrollmentThis provider is enrolled in PECOS as JILL WOLK.Based on the most recent information from CMS, provider Jill E Wolk is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 33 days ago.Profile DetailsProvider ID1588725337Provider TypeIndividualFull NameWolk, Jill ECredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date12/13/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address1085 Maple St, Farmington, MO 63640-1955Phone(573) 747-2447Fax(573) 756-4557Mailing LocationMailing Address1430 Olive St, Suite 400, Saint Louis, MO 63103-2303Phone(314) 206-3700Fax(314) 206-3708Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseSW004828Missouri