Willow Bloom Therapy, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WILLOW BLOOM THERAPY, PLLC

Practice address

35 S Summit St
Ypsilanti, MI 48197-4747

Phone

(303) 900-2025

NPI assigned

Aug 22, 2024

Organization subpart

No

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

Authorized official

Name

Charlotte Harrington, LMSWNPI 1205601226

Title

Ownder

Phone

(303) 900-2025

Specialties & licenses 1

Addresses

Practitioners 1

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

• Charlotte Harrington, LMSW

  • Clinical Social Worker
  • Ypsilanti, MI
  • NPI 1205601226
  NPD Authorized official

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1144053497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801600008",
            "telephone_number": "303-900-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S SUMMIT ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481974747",
            "telephone_number": "303-900-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW BLOOM THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "HARRINGTON",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "303-900-2025",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nakia Williams
• Patricia Williams
• Teresa Williams, D.C.
• Todd A Williams
• Isaac Williamson, LMSW
• Danielle Wilseck, PA-C
• Kamaria Wilson, TRAINED DOULA
• Kelly Wilson, RDN
• Kyra Wilson
• Lila Patricia Wilson, D.D.S.

• Clinical Social Worker in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.