Willowbrook Wellness, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017511 Issued in PA

Legal business name

WILLOWBROOK WELLNESS, LLC

Practice address

822 Montgomery Ave
Suite 316
Narberth, PA 19072-1937

Phone

(484) 297-2022

NPI assigned

May 18, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Jason R. McLaughlin, LCSWNPI 1063791457

Title

Partner

Phone

(610) 357-9230

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 2

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

• Jason R McLaughlin, MS, MSS, LCSW

  • Clinical Social Worker
  • Narberth, PA
  • NPI 1063791457
  Medicare reassignment NPD Authorized official
• Marla Shawaryn McLaughlin, PH.D.

  • Clinical Psychologist
  • Philadelphia, PA
  • NPI 1568426286
  NPD (past)

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1801243910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WILLOWBROOK AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190501810",
            "telephone_number": "610-357-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 MONTGOMERY AVE",
            "address_2": "SUITE 316",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190721937",
            "telephone_number": "484-297-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWBROOK WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "610-357-9230",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS015685",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie White, MS, CCC-SLP
• Abigail Wild, MA, CCC-SLP
• William T. Chain, Jr., M.D PC
• Erin Bourke Williams
• Jillian Jackson Williams, LCSW
• Julia Marie Wood, MOT
• Tracy Leigh Wood, M.ED., LMFT
• Timothy H Wright, PSY.D.
• Sarah Lesley Yatvin Aked
• Emma Yoder, CD(DONA)

• Clinical Social Worker in Narberth, PA
• Providers in Narberth, 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 May 18, 2016; 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.