Willow Strength Family Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

077411 Issued in IA

Legal business name

WILLOW STRENGTH FAMILY THERAPY, LLC

Practice address

2300 Swan Lake Blvd
Suite 102
Independence, IA 50644-5064

Phone

(563) 212-8015

NPI assigned

Aug 3, 2018

Organization subpart

No

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

Authorized official

Name

Lauren Oldag, LISW

Title

Therapist/Owner

Phone

(563) 212-8015

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533254400000",
    "number": "1902384639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 SWAN LAKE BLVD STE 102",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506449708",
            "telephone_number": "563-212-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SWAN LAKE BLVD",
            "address_2": "SUITE 102",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506445064",
            "telephone_number": "563-212-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW STRENGTH FAMILY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A",
        "authorized_official_last_name": "OLDAG",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "563-212-8015",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "077411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Walrath
• Kaela Weimerskirch
• Crystal Westphal, COTA
• Kelly J Weyant, CADC
• Krissy Jean Wieland, DNP
• Jaden Elle Wilson
• Haley Wulfekuhle, ARNP
• Mark M Zimmer, OD

• Clinical Social Worker in Independence, IA
• Providers in Independence, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.