WILLOW TREE LICENSED CLINICAL SOCIAL WORKER
NPI 1245069616
Social Worker - Clinical in Oceanside, CA

Active since August 01, 2024
2103 S EL CAMINO REAL STE 202, OCEANSIDE, CA 92054(442) 500-8548(760) 400-8379 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2026, Mar 3, 2025, Aug 1, 2024 (3 updates tracked since 2024).

About Willow Tree Licensed Clinical Social Worker NPPES

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

WILLOW TREE LICENSED CLINICAL SOCIAL WORKER (NPI 1245069616) is a healthcare organization registered as a clinical in Oceanside, California and active in the NPI registry since August 2024. The organization lists Sibelia Lisanne Chaiyahat, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245069616
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWILLOW TREE LICENSED CLINICAL SOCIAL WORKER
Location Address2103 S EL CAMINO REAL STE 202Oceanside, CA 92054-6281
Mailing Address2103 S El Camino Real Ste 202Oceanside, CA 92054-6281 · (442) 500-8548
Fax(760) 400-8379
Organization SubpartNo
Authorized OfficialSibelia Lisanne ChaiyahatCeo · (442) 500-8548
Enumeration DateAugust 1, 2024
Last NPPES UpdateJanuary 6, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
NPI 1245069616 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.
2103 S EL CAMINO REAL STE 202, Oceanside, CA 92054

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
2103 S EL CAMINO REAL STE 202
OCEANSIDE, CA 92054
Counselor (Mental Health)
2103 S EL CAMINO REAL STE 202
OCEANSIDE, CA 92054

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 Tree Licensed Clinical Social Worker's NPI number?

The NPI number for Willow Tree Licensed Clinical Social Worker is 1245069616. It was assigned to this organization in the NPPES registry on August 1, 2024.

Where is Willow Tree Licensed Clinical Social Worker located?

Willow Tree Licensed Clinical Social Worker is located at 2103 S El Camino Real Ste 202, Oceanside, CA 92054. The listed phone number is (442) 500-8548.

What is Willow Tree Licensed Clinical Social Worker'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 Tree Licensed Clinical Social Worker was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.