Nicole Iacovoni, LCSW, MSW
NPI 1578834784ActiveIndividual· Social Worker, Clinical· Bloomsburg, PA
Social Worker, Clinical (LCSW, MSW) with Willow Tree Wellness and Counseling LLC, practicing in Bloomsburg, Pennsylvania. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1578834784 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW, MSW |
| Sole proprietor | Yes |
| NPI issued | Jan 19, 2012 |
| Last updated in NPPES | Jan 19, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | CW017138 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (PA) |
|---|
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Willow Tree Wellness and Counseling LLCBloomsburg, PA · 3 clinicians
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All 22 clinical social workers in Bloomsburg · All clinical social workers in Pennsylvania