Organization Active NPI

Willow Well Therapy, PLLC

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1962169219
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WILLOW WELL THERAPY, PLLC
Practice address
110 Vintage Park Blvd Ste 270
Houston, TX 77070-4048
Phone
(832) 408-0898
NPI assigned
Nov 22, 2021
Last updated
Feb 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Authorized official

Name
Ms. Kamaria J Bobbitt, LCSWNPI 1962169201
Title
Owner
Phone
(832) 408-0898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

110 Vintage Park Blvd Ste 270
Houston, TX 77070-4048

Mailing address

134 Vintage Park Blvd Ste a
Houston, TX 77070-3998
Phone (832) 216-3063

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kamaria@willowwelltherapy.com Direct

National Provider Directory

National Provider Directory

Locations

110 Vintage Park Blvd
Ste 270
Houston, TX 77070
Phone (832) 408-0898

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1962169219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 VINTAGE PARK BLVD STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770703998",
            "telephone_number": "832-216-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 VINTAGE PARK BLVD STE 270",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704048",
            "telephone_number": "832-408-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW WELL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "BOBBITT",
        "authorized_official_first_name": "KAMARIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-408-0898",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kamaria@willowwelltherapy.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "134 Vintage Park Blvd Ste A",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770703998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.