Willow Grove Therapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WILLOW GROVE THERAPY LLC

Practice address

808 Regester Ave
Idlewylde, MD 21239-1345

Phone

(443) 356-6165

NPI assigned

Dec 19, 2023

Organization subpart

No

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

Authorized official

Name

Kristen Chmielewski, LCSW-C, PMH-CNPI 1992423362

Title

Clinical Social Worker

Phone

(443) 356-6165

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kristen Chmielewski

  • Mental Health Counselor
  • Owings Mills, MD
  • NPI 1992423362
  NPD Authorized official

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1750159778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 REGESTER AVE",
            "city": "IDLEWYLDE",
            "state": "MD",
            "postal_code": "212391345",
            "telephone_number": "443-356-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 REGESTER AVE",
            "city": "IDLEWYLDE",
            "state": "MD",
            "postal_code": "212391345",
            "telephone_number": "443-356-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW GROVE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "CHMIELEWSKI",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "443-356-6165",
        "authorized_official_credential": "LCSW-C, PMH-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail H Miller, LCSW-C
• Plant-Based Perspective
• Sharon Kendra Richardson, LCSW-C
• Supplemental Health
• Valid Wellness

• Community/Behavioral Health Agency in Idlewylde, MD
• Providers in Idlewylde, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.