Individual ProviderAlisa WolfSocial WorkerBehavioral Health & Social Service ProvidersPractice Address325 Il Route 2, Dixon, IL 61021-9118(815) 284-6611PECOS EnrollmentBased on the most recent information from CMS, provider Alisa Wolf does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1932299138Provider TypeIndividualFull NameWolf, AlisaTitleMs.CredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date10/16/2006Last Updated9/10/2010Contact InformationPractice LocationPractice Address325 Il Route 2, Dixon, IL 61021-9118Phone(815) 284-6611Fax(815) 284-6598Mailing LocationMailing Address325 Il Route 2, Dixon, IL 61021-9118Phone(815) 284-6611Fax(815) 284-6598Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149008732Illinois