NPIMap

Organization Active NPI

Williams & Bassoli, LLP

  • Clinical Social Worker
  • Southington, CT
National Provider Identifier
1720555642
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WILLIAMS & BASSOLI, LLP
Doing business as
Willow Tree Wellness
Practice address
132 Main St Ste 2a
Southington, CT 06489-2561
Phone
(860) 276-4459
NPI assigned
Oct 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Ms. Katie Bassoli, LCSW
Title
Partner
Phone
(860) 878-4367

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

132 Main St Ste 2a
Southington, CT 06489-2561

Mailing address

132 Main St Ste 2a
Southington, CT 06489-2561
Phone (860) 878-4367

Other names 1

  • Willow Tree Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260302000692 CT Part B Supplier - Clinic/Group Practice 2860974730 Receives reassigned benefits from 2 practitioners
Practice locations: Hamden, CT; Southington, CT

National Provider Directory

National Provider Directory

Locations

132 Main St
Southington, CT 06489

132 Main St
Ste 2A
Southington, CT 06489
Phone (860) 276-4459

35 N Main St
Ste 2H
Southington, CT 06489
Phone (203) 715-6115

Practitioners & affiliated clinicians

Practitioners 12

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": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1720555642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 MAIN ST STE 2A",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892561",
            "telephone_number": "860-878-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 MAIN ST STE 2A",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892561",
            "telephone_number": "860-276-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS & BASSOLI, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2024-06-10",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "BASSOLI",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "860-878-4367",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Tree Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Willow Tree Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.