Two Willows Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8136-123 Issued in WI

Legal business name

TWO WILLOWS COUNSELING LLC

Practice address

1414 Underwood Ave Ste 400
Wauwatosa, WI 53213-2653

Phone

(414) 931-1278

NPI assigned

Jul 19, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Sue Elizabeth Jennings, LCSWNPI 1508281668

Title

Owner

Phone

(414) 931-1278

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

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

• Sue Jennings

  • Clinical Social Worker
  • Wauwatosa, WI
  • NPI 1508281668
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1922521186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 N 117TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262113",
            "telephone_number": "14147450214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 UNDERWOOD AVE STE 400",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132653",
            "telephone_number": "414-931-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO WILLOWS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-931-1278",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8136-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn J. Turcott, M.D.
• Richard D. Turcott, M.D.
• Nick William Turkal, MD
• Lauren Tutaj
• Linda A Twelmeyer
• Kimberly Tyler, MD
• Katrina Ubell, M.D.
• Erin Udelhofen, RN
• Filoreta D Udrea, MD
• Christopher O Ukah, RPH

• Clinical Social Worker in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.