Willow Tree Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4222 Issued in KS

Legal business name

WILLOW TREE THERAPY LLC

Practice address

1819 11TH STR.
Great Bend, KS 67530-4511

Phone

(620) 603-6257

Fax

(620) 603-6259

NPI assigned

Aug 19, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robin Rayne Abercrombie, LSCSW

Title

Owner/Therapist

Phone

(620) 603-6257

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Robin Schneider LSCSW LLC Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1063967008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 11TH STR.",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304511",
            "telephone_number": "620-603-6257",
            "fax_number": "620-603-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 11TH STR.",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304511",
            "telephone_number": "620-603-6257",
            "fax_number": "620-603-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW TREE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "ABERCROMBIE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "RAYNE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "620-603-6257",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200629070A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robin Schneider LSCSW LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Wilbea Medical Equipment LLC
• Katelyn Dawn Wilcox
• Williams Medical Group Practice, LLC
• Rebecca Williams
• Ryan M Williams, M.D.
• Jason P Wiltshire, MD
• Jade E Wissing
• Joanne R Wondra, LPC
• Erin Kathleen Woods, APRN
• Corinne Janel Wray, APRN

• Clinical Social Worker in Great Bend, KS
• Providers in Great Bend, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.