Organization Active NPI

Willowstone Psychotherapy Licensed Clinical Social Worker PLLC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1235068057
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WILLOWSTONE PSYCHOTHERAPY LICENSED CLINICAL SOCIAL WORKER PLLC
Practice address
125 W 109TH St Apt 6F
New York, NY 10025-2500
Phone
(424) 362-4511
NPI assigned
May 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Xiaoyan Fei, LCSW
Title
Owner
Phone
(929) 204-5680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

125 W 109TH St Apt 6F
New York, NY 10025-2500

Mailing address

125 W 109TH St Apt 6F
New York, NY 10025-2500
Phone (424) 362-4511

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1235068057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W 109TH ST APT 6F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252500",
            "telephone_number": "424-362-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W 109TH ST APT 6F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252500",
            "telephone_number": "424-362-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWSTONE PSYCHOTHERAPY LICENSED CLINICAL SOCIAL WORKER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "FEI",
        "authorized_official_first_name": "XIAOYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-204-5680",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.