Active NPI
Patricia Isom, LCSW
- Clinical Social Worker
- Santa Maria, CA
National Provider Identifier
1043672488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 95129
- Practice address
- 360 1/2 E Foster Rd
Santa Maria, CA 93455-3117 - Phone
- (805) 905-5285
- NPI assigned
- Mar 24, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW69337 | CA | |
| Clinical Social Worker | 1041C0700X | 95129 | CA | Primary |
Addresses
Primary practice location
360 1/2 E Foster Rd
Santa Maria, CA 93455-3117
Mailing address
360 1/2 E Foster Rd
Santa Maria, CA 93455-3117
Phone (805) 905-5285
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95129 | CA | MD | Clinical Social Worker |
| ASW69337 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1043672488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 1/2 E FOSTER RD",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934553117",
"telephone_number": "805-905-5285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 1/2 E FOSTER RD",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934553117",
"telephone_number": "805-905-5285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISOM",
"first_name": "PATRICIA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-24",
"last_updated": "2022-01-03",
"certification_date": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW69337",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "95129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.