NPIMap

Organization Active NPI

The Willow Tree NE, LLC

  • Clinical Social Worker
  • Seekonk, MA
National Provider Identifier
1386462026
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE WILLOW TREE NE, LLC
Practice address
179 Highland Ave
Seekonk, MA 02771-5828
Phone
(401) 206-0076
NPI assigned
Oct 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Kimberly Rodrigues, LICSWNPI 1538586979
Title
Owner, Practice Manager
Phone
(401) 699-7891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

179 Highland Ave
Seekonk, MA 02771-5828

Mailing address

179 Highland Ave
Seekonk, MA 02771-5828

National Provider Directory

National Provider Directory

Locations

179 Highland Ave
Seekonk, MA 02771
Phone (401) 206-0076

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": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1386462026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 HIGHLAND AVE",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "027715828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 HIGHLAND AVE",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "027715828",
            "telephone_number": "401-206-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WILLOW TREE NE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "RODRIGUES",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER, PRACTICE MANAGER",
        "authorized_official_telephone_number": "401-699-7891",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seekonk, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.