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Deactivated NPI 1699205658 Deactivated / Inactive NPI Female Practitioner

Cleo Bittersweet Wolf , LAC

Acupuncturist • Portland, ME

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Cleo Wolf has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 13, 2017
NPI Deactivation Date December 13, 2021
Total Practice Duration ~4 Years of Practice (2017 – 2021)

Professional Overview & Biography Verified Profile Summary

Cleo Wolf, LAC was a registered Acupuncturist practicing in Portland, ME. Throughout an active medical career spanning 4 years, Cleo Wolf provided care at the practice location at 100 FORE ST FL 2 until profile deactivation on 2021-12-13.

Practice Location & Contact Primary Location

Practice Address

100 Fore St Fl 2

Portland, ME 041014879

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Portland, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 47.0 Yrs
Regional Practice Density
32 Specialists

Practicing in Portland, ME (182 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License ME AC574

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Grace Bedard

Physical Therapist

NPI 1497265219

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 13, 2021

Record deactivated on December 13, 2021

NPI Profile Active June 13, 2017

NPI status registered as active in NPPES database

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Updated Practice Location June 13, 2017

Registered at 100 FORE ST FL 2, PORTLAND, ME 041014879 (Tel: (207) 773-5778)

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Updated Business Mailing Address June 13, 2017

Registered at 100 FORE ST FL 2, PORTLAND, ME 041014879 (Tel: 2077735778)

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Provider Name / Credentials Updated June 13, 2017

Recorded as CLEO WOLF, L.AC

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2017

Acupuncturist (License #AC574 in ME)

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Initial NPI Registration & Enumeration June 13, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699205658
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2017
Last Update: June 13, 2017
Deactivation Date: December 13, 2021

Mailing Address

100 Fore St Fl 2

Portland, ME 041014879

Phone: 2077735778

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.