Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Willow Tree Counseling LCSW, PC

Organization Clinical Social Worker · NPI 1639879810

Willow Tree Counseling LCSW, PC is a Clinical Social Worker in Ronkonkoma, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2305 Motor Pkwy
Ronkonkoma, NY 11779-4724
Phone: (631) 384-1504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1639879810
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jodi Merlino — Owner · (631) 384-1504
NPI enumeratedMarch 7, 2023
Last updated in NPPESMarch 7, 2023
Certification dateMarch 7, 2023
Mailing address2305 Motor Pkwy, Ronkonkoma, NY 11779-4724

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