1. Home
  2. Directory
  3. Indiana
  4. Flat Rock
  5. Social Worker
  6. NPI Profile

WILLOW GROVE WELLNESS, LLC
NPI 1104565605
Social Worker - Clinical in Flat Rock, IN

Active since June 02, 2022
10315 S 275 E, FLAT ROCK, IN 47234(317) 426-1847 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Willow Grove Wellness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLOW GROVE WELLNESS, LLC (NPI 1104565605) is a healthcare organization registered as a clinical in Flat Rock, Indiana and active in the NPI registry since June 2022. The organization lists Jessica V Jacobs, Owner, as its authorized official.

NPPES Registry Identity

NPI1104565605
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWILLOW GROVE WELLNESS, LLC
Location Address10315 S 275 EFlat Rock, IN 47234-9730
Mailing Address3129 25th St # 224Columbus, IN 47203-2436 · (317) 426-1847
Phone(317) 426-1847
Organization SubpartNo
Authorized OfficialJessica V JacobsOwner · (317) 426-1847
Enumeration DateJune 2, 2022
NPPES CertifiedJune 2, 2022
✔ NPI 1104565605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
10315 S 275 E, Flat Rock, IN 47234
Open in Google Maps ↗

Other Identifiers 2

Medicaid1255733689IN
Medicaid1972071405IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willow Grove Wellness, LLC's NPI number?

The NPI number for Willow Grove Wellness, LLC is 1104565605. It was assigned to this organization in the NPPES registry on June 2, 2022.

Where is Willow Grove Wellness, LLC located?

Willow Grove Wellness, LLC is located at 10315 S 275 E, Flat Rock, IN 47234. The listed phone number is (317) 426-1847.

What is Willow Grove Wellness, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Willow Grove Wellness, LLC was last updated on June 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.