Willow Tree Practice – Clinical Social Worker, NPI 1376314831

Willow Tree Practice is a healthcare provider. based in Sunderland, Massachusetts. specializing in Clinical Social Worker. The NPI Number for Willow Tree Practice is 1376314831

Main info

Organization
Name
Willow Tree Practice
NPI
1376314831
Phone
Not provided
Address
114 OLD AMHERST RD
Authorized Official
LIAM BOTELHO PRACTICE OWNER
Enumeration Date
12 January 2024
Last Update Date
3 June 2026
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness90
Years active:2State licenses:0Digital endpoints

Provider Addresses for Willow Tree Practice

  • 114 OLD AMHERST RD

    SUNDERLAND, MA 013759558

    Phone:

    Type: Mailing

  • 474 MAIN ST STE 7

    GREENFIELD, MA 013013315

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-07

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20240207001950OClinic/Group PracticeMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01375)

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Reviews

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Frequently asked questions

What federal number belongs to Willow Tree Practice?
The federal identifier for Willow Tree Practice is NPI 1376314831.
Is Willow Tree Practice's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does Willow Tree Practice work in?
You can think of Willow Tree Practice as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location shows for Willow Tree Practice?
We surface Sunderland, Massachusetts for Willow Tree Practice based on available NPPES addresses.
How can I contact Willow Tree Practice?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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