Isadora Trask, MSW
Individual provider Active NPI Clinical Social Worker · Atlanta, GA
NPI 1124800271 · NPPES record last updated Oct 13, 2023
Key facts
- NPI
- 1124800271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 1230 Peachtree St NE FL 19
Atlanta, GA 30309-3574 - Phone
- (470) 763-3635
- Fax
- (404) 263-0054
- NPI assigned
- Oct 13, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
1230 Peachtree St NE FL 19
Atlanta, GA 30309-3574
Mailing address
1455 Lanvale Dr SW
Atlanta, GA 30310-3728
Other providers in Atlanta, GA
- Transitional Family Sevices
- Transperfect Health Corp
- David A Trant
- Elizabeth Jordan Traore
- John Trapp
- Maria R. Trattler
- Eric Scott Traub
- Nomi Lisa Traub
- Molly Traughber
- Katherine Traugott
All providers in Atlanta, GA · Clinical Social Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.