NPIMap

Organization Active NPI

Willow Tree, LLC

  • Clinical Social Worker
  • Neodesha, KS
National Provider Identifier
1346405529
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2450 Issued in KS
Legal business name
WILLOW TREE, LLC
Practice address
4922 Oak Hill Dr
Neodesha, KS 66757-1790
Phone
(620) 325-3187
NPI assigned
Jul 27, 2008
Last updated
Jul 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Connie B. Hudson, LSCSW
Title
Owner
Phone
(620) 325-3187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2450 KS Primary

Addresses

Primary practice location

4922 Oak Hill Dr
Neodesha, KS 66757-1790

Mailing address

4922 Oak Hill Dr
Neodesha, KS 66757-1790
Phone (620) 325-3187

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1346405529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4922 OAK HILL DR",
            "city": "NEODESHA",
            "state": "KS",
            "postal_code": "667571790",
            "telephone_number": "620-325-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4922 OAK HILL DR",
            "city": "NEODESHA",
            "state": "KS",
            "postal_code": "667571790",
            "telephone_number": "620-325-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW TREE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-27",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-325-3187",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "2450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neodesha, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.