WILLOW OF WONDER CHILD & FAMILY THERAPY PLLC
NPI 1780107706
Social Worker - Clinical in New Baltimore, MI

Active since July 21, 2017
35218 23 MILE RD, NEW BALTIMORE, MI 48047(586) 291-1899 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2024, Aug 28, 2018, Jun 16, 2018 and 1 more (4 updates tracked since 2017).

About Willow Of Wonder Child & Family Therapy Pllc NPPES

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

WILLOW OF WONDER CHILD & FAMILY THERAPY PLLC (NPI 1780107706) is a healthcare organization registered as a clinical in New Baltimore, Michigan and active in the NPI registry since July 2017. The organization lists Rebecca Konarz, Director, as its authorized official.

NPPES Registry Identity

NPI1780107706
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWILLOW OF WONDER CHILD & FAMILY THERAPY PLLC
Location Address35218 23 MILE RDNew Baltimore, MI 48047-3650
Mailing Address35587 Brooke CtNew Baltimore, MI 48047-1137 · (586) 291-1899 · Fax (586) 273-0107
Organization SubpartNo
Authorized OfficialRebecca KonarzDirector · (586) 291-1899
Enumeration DateJuly 21, 2017
Last NPPES UpdateApril 22, 20244 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
NPI 1780107706 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 MI · 6801083801
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.
35218 23 MILE RD, New Baltimore, MI 48047

Other Identifiers 1

MedicaidCVO138370MI

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

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Social Worker (Clinical)
35218 23 MILE RD
NEW BALTIMORE, MI 48047
Counselor
35218 23 MILE RD
NEW BALTIMORE, MI 48047
Counselor (Professional)
35218 23 MILE RD
NEW BALTIMORE, MI 48047
Social Worker (Clinical)
35218 23 MILE RD
NEW BALTIMORE, MI 48047

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 Of Wonder Child & Family Therapy PLLC's NPI number?

The NPI number for Willow Of Wonder Child & Family Therapy PLLC is 1780107706. It was assigned to this organization in the NPPES registry on July 21, 2017.

Where is Willow Of Wonder Child & Family Therapy PLLC located?

Willow Of Wonder Child & Family Therapy PLLC is located at 35218 23 Mile Rd, New Baltimore, MI 48047. The listed phone number is (586) 291-1899.

What is Willow Of Wonder Child & Family Therapy PLLC's specialty?

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

What insurance does Willow Of Wonder Child & Family Therapy PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Willow Of Wonder Child & Family Therapy PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Willow Of Wonder Child & Family Therapy PLLC was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.