Erika L Willsey

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LMSW-37785 Issued in ID

Practice address

451 Eastland Dr Ste 7
Twin Falls, ID 83301-7454

Phone

(208) 258-7681

NPI assigned

Nov 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1841894755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 EASTLAND DR STE 7",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833017454",
            "telephone_number": "208-258-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 EASTLAND DR STE 7",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833017454",
            "telephone_number": "208-258-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLSEY",
        "first_name": "ERIKA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LMSW-37785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clinical@aspengrovetherapy.com",
            "affiliation": "N",
            "endpointDescription": "Clinical Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "451 Eastland Dr Ste 7",
            "city": "Twin Falls",
            "state": "ID",
            "country_code": "US",
            "postal_code": "833017454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Kendra Wininger
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• Clinical Social Worker in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.