The Willow Center for Integrative Health PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE WILLOW CENTER FOR INTEGRATIVE HEALTH PLLC

Practice address

3543 N Pulaski Rd
Chicago, IL 60641-3945

Phone

(312) 504-7567

Fax

(312) 448-8574

NPI assigned

Sep 1, 2020

Organization subpart

No

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

Authorized official

Name

Sarah Lindsay Smith, LCSW, MSNPI 1194197749

Title

Manager

Phone

(312) 504-7567

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• The Willow Center for Integrative Health Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Smith

  • Social Worker
  • Chicago, IL
  • NPI 1194197749
  NPD Authorized official
• Mary Catherine Bridgeland, LPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1285331512
  NPD
• Alisara Christensen, LPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1184514382
  NPD
• E.J. Yarbrough

  • Professional Counselor
  • Chicago, IL
  • NPI 1437866761
  NPD

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1134733868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3543 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413945",
            "telephone_number": "312-504-7567",
            "fax_number": "312-448-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3543 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413945",
            "telephone_number": "312-504-7567",
            "fax_number": "312-448-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WILLOW CENTER FOR INTEGRATIVE HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "LINDSAY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "312-504-7567",
        "authorized_official_credential": "LCSW, MS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1184941437",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194197749",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1073022547",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1457822801",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Willow Center for Integrative Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Willow Center for Integrative Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.