Willow Tree Wellness & Counseling, LLC
NPI 1649521584ActiveOrganization· Social Worker, Clinical· Bloomsburg, PA
Social Worker, Clinical in Bloomsburg, Pennsylvania, registered in NPPES in October 2012. The authorized official on file is Nicole Iacovoni, LCSW, MSW, Founder & Chief Clinician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1649521584 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 1, 2012 |
| Last updated in NPPES | Oct 1, 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 Part B Supplier - Clinic/Group Practice (PA) |
|---|
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