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WILLOW TREE WELLNESS & COUNSELING, LLC
NPI 1649521584
Social Worker - Clinical in Bloomsburg, PA

Active since October 01, 2012
214 CENTER ST, BLOOMSBURG, PA 17815(570) 336-9921(570) 317-2594 Get Directions Write a Review

NPPES record last updated: October 1, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Willow Tree Wellness & Counseling, Llc NPPES

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

WILLOW TREE WELLNESS & COUNSELING, LLC (NPI 1649521584) is a healthcare organization registered as a clinical in Bloomsburg, Pennsylvania and active in the NPI registry since October 2012. The organization lists Nicole Iacovoni, Founder & Chief Clinician, as its authorized official.

NPPES Registry Identity

NPI1649521584
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWILLOW TREE WELLNESS & COUNSELING, LLC
Location Address214 CENTER STBloomsburg, PA 17815-1752
Mailing Address214 Center StBloomsburg, PA 17815-1752 · (570) 336-9921 · Fax (570) 317-2594
Phone(570) 336-9921
Fax(570) 317-2594
Organization SubpartNo
Authorized OfficialNicole IacovoniFounder & Chief Clinician · (570) 336-9921
Enumeration DateOctober 1, 2012
✔ NPI 1649521584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in PA · CW017138
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.
214 CENTER ST, Bloomsburg, PA 17815
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Willow Tree Wellness & Counseling, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Willow Tree Wellness & Counseling, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nicole Iacovoni, LCSW, MSW
Clinical Social Worker
NPI 1578834784
214 CENTER ST
Bloomsburg, PA 17815
(570) 336-9921
✔ PECOS✔ Accepts MedicareSame address
Shawn Clavelle, MSW, LSW
Clinical Social Worker
NPI 1073286381
239 MARKET ST
Bloomsburg, PA 17815
(802) 734-0380
✔ PECOS0.1 mi
Mary Tiffin, MSW, LSW
Clinical Social Worker
NPI 1790557205
298 E 5TH ST
Bloomsburg, PA 17815
(570) 317-2999
✔ PECOS✔ Accepts Medicare0.4 mi
Jessie Hartman, M.S.W
Clinical Social Worker
NPI 1104051671
DIAKON FAMILY LIFE SERVICES 435 W. FOURTH STREET
Williamsport, PA 17701
(570) 322-7873
✔ PECOS✔ Accepts Medicare32 mi
Terri Calvert, MD
Psychiatry
NPI 1205914249
1000 COMMERCE PARK DR SUITE 110
Williamsport, PA 17701
(570) 323-6944
✔ PECOS✔ Accepts Medicare32 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Wellness & Counseling, LLC's NPI number?

The NPI number for Willow Tree Wellness & Counseling, LLC is 1649521584. It was assigned to this organization in the NPPES registry on October 1, 2012.

Where is Willow Tree Wellness & Counseling, LLC located?

Willow Tree Wellness & Counseling, LLC is located at 214 Center St, Bloomsburg, PA 17815. The listed phone number is (570) 336-9921.

What is Willow Tree Wellness & Counseling, LLC's specialty?

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

Is Willow Tree Wellness & Counseling, LLC enrolled in Medicare?

Yes. Willow Tree Wellness & Counseling, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Willow Tree Wellness & Counseling, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Willow Tree Wellness & Counseling, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (4) and Psychiatry (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Willow Tree Wellness & Counseling, LLC was last updated on October 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.