Shawn Clavelle, MSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW138100 Issued in PA

Practice address

239 Market St
Bloomsburg, PA 17815-1726

Phone

(802) 734-0380

Fax

(570) 317-2891

NPI assigned

Aug 1, 2021

Last updated

Aug 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Willow Tree Wellness & Counseling, LLC

  • Clinical Social Worker
  • Bloomsburg, PA
  • NPI 1649521584
  Medicare reassignment NPD

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

{
    "created_epoch": "1627776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627776000000",
    "number": "1073286381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 MARKET ST",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178151726",
            "telephone_number": "802-734-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 MARKET ST",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178151726",
            "telephone_number": "802-734-0380",
            "fax_number": "570-317-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAVELLE",
        "first_name": "SHAWN",
        "name_prefix": "Ms.",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-01",
        "last_updated": "2021-08-01",
        "certification_date": "2021-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW138100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.willowtreewc.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "239 Market St",
            "city": "Bloomsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "178151726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dean A. Christian, M.D.
• Samantha Church
• Cynthia Ciccotelli, MD
• Rachel Clappin, RN
• David M. Clark, OD
• Clover Leaf Counseling Center, LLC.
• Cmsu Behavioral Health and Developmental Services
• Cmsu MH/Mr and D&a Program
• Anna Coleman
• Columbia Ancillary Services Inc

• Social Worker in Bloomsburg, PA
• Providers in Bloomsburg, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.