The Willow Space for Trauma Treatment LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE WILLOW SPACE FOR TRAUMA TREATMENT LLC

Practice address

1770 Lancaster Ave Ste 12
Paoli, PA 19301-1575

Phone

(484) 442-0832

NPI assigned

Mar 28, 2025

Organization subpart

No

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

Authorized official

Name

Erin Ziegelmeyer, MANPI 1174038848

Title

Co-Owner

Phone

(513) 255-1546

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Erin E Ziegelmeyer, MA

  • Mental Health Counselor
  • Paoli, PA
  • NPI 1174038848
  NPD Authorized official

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

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1245033141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 LANCASTER AVE STE 12",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 LANCASTER AVE STE 12",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011575",
            "telephone_number": "484-442-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WILLOW SPACE FOR TRAUMA TREATMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "ZIEGELMEYER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "513-255-1546",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "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": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Paoli, PA
• Providers in Paoli, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.