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

Willow Tree Licensed Clinical Social Worker

Organization Clinical Social Worker · NPI 1245069616

Willow Tree Licensed Clinical Social Worker is a Clinical Social Worker in Oceanside, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2103 S El Camino Real Ste 202
Oceanside, CA 92054-6281
Phone: (442) 500-8548
Fax: (760) 400-8379
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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 number1245069616
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sibelia Chaiyahat — Ceo · (442) 500-8548
NPI enumeratedAugust 1, 2024
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026
Mailing address2103 S El Camino Real Ste 202, Oceanside, CA 92054-6281

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