WILLOW TREE PSYCHOTHERAPY (NPI# 1790226371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790226371 |
| Entity Type | Organization |
| Organization Name | WILLOW TREE PSYCHOTHERAPY |
| Practice Address |
1525 E 53rd St Suite 405 Chicago IL 60615-4557 |
| Mailing Address |
12110 Ann St Ann St Blue Island IL 60406 |
| Practice Telephone | 7082779112 |
| Mailing Telephone | 3057472932 |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |
| Authorized Official Name | SARAH MANAHER (OWNER/THERAPIST) |
| Authorized Official Telephone | 3057472932 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149013890 | IL | Behavioral Health & Social Service Providers |
| Street Address |
1525 E 53RD ST SUITE 405 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60615-4557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548254675 | Kirsten Dana Belzer | Social Worker | 1525 E 53rd St, Suite 516-7, Chicago, IL 60615-4557 | 2005-09-05 |
| 1184279895 | Sociosecure Tech | Clinic/Center | 1525 E 53rd St, Chicago, IL 60615-4557 | 2019-08-08 |
| 1861988784 | Elizabeth Sorice | Social Worker | 1525 E 53rd St, Chicago, IL 60615-4557 | 2018-07-03 |
| 1568981629 | Stephanie Jacobstein Beiser | Social Worker | 1525 E 53rd St, Chicago, IL 60615-4557 | 2017-09-10 |
| 1255867297 | Lisa Brown-mullings | Counselor | 1525 E 53rd St, 630, Chicago, IL 60615-4557 | 2017-05-11 |
| 1891229662 | Dr Theresa Gregoire Ltd | Psychologist | 1525 E 53rd St, Suite 605, Chicago, IL 60615-4557 | 2017-04-18 |
| 1952849564 | Rebecca Hubbard Dba Grounded Power Psychological Consulting | Social Worker | 1525 E 53rd St, Suite 501, Chicago, IL 60615-4557 | 2017-02-02 |
| 1578015335 | Answers Lie Within Inc | Counselor | 1525 E 53rd St, Suite 425, Chicago, IL 60615-4557 | 2016-10-27 |
| 1417318916 | Jam Solutions LLC | Social Worker | 1525 E 53rd St, Suite 408, Chicago, IL 60615-4557 | 2016-03-10 |
| 1861850877 | Ronald Rubenstein, D.d.s., Ltd. | Dentist | 1525 E 53rd St, Suite 908, Chicago, IL 60615-4557 | 2016-02-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170221 | Cook County | Technician, Other | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
| 1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
| 1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
| 1275007767 | Michelle Alyse Costello | Social Worker | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
| 1194207522 | Cindy Louise Lys | Social Worker | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
| 1861983660 | Pranusha Pinna | Student in an Organized Health Care Education/Training Program | 1850 W. Harrison St., Chicago, IL 60615 | 2018-05-29 |
| 1528577632 | Jonah Waseberg | Counselor | 1100 E.55th St, Chicago, IL 60615 | 2017-09-21 |
| 1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
| 1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
| 1205387990 | Kirk Remon Riddle | Counselor | 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 | 2016-10-18 |
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| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
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| 1881295186 | Belva Marie Dibert | Social Worker | 6330 S Ingleside Ave Apt 3, Chicago, IL 60637-5784 | 2020-11-03 |
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1164022422 | Brittany Lauren Gatchell | Social Worker | 7448 N Damen Ave Apt 3n, Chicago, IL 60645-2258 | 2020-10-27 |
| 1467052803 | Seri Elaine Porter | Social Worker | 4258 N Greenview Ave Apt 2d, Chicago, IL 60613-1173 | 2020-10-26 |
| 1255930707 | Emily Ehrens | Social Worker | 303 W Institute Pl Ste 300, Chicago, IL 60610-3080 | 2020-10-25 |
| 1316546955 | Yesenia Maldonado | Social Worker | 3922 N Sayre Ave, Chicago, IL 60634-2329 | 2020-10-24 |
| 1144829201 | Andrea Hohf, Mscd, Lcsw | Social Worker | 564 W Randolph St Ste 248, Chicago, IL 60661-2218 | 2020-10-20 |
| 1215536693 | Miracleworks Therapy & Consulting LLC | Social Worker | 2138 S Indiana Ave, Chicago, IL 60616-4930 | 2020-10-18 |
| 1104425552 | Fifth Star Collective, LLC | Social Worker | 2711 N Lawndale Ave Unit 2, Chicago, IL 60647-1127 | 2020-10-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.