Individual provider Active NPI

Maria T Isava, LCSW

  • Clinical Social Worker
  • Carrollton, TX
National Provider Identifier
1164769998
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
67389 Issued in TX
Practice address
4425 Plano Pkwy Ste 701
Carrollton, TX 75010-5031
Phone
(469) 469-9557
NPI assigned
Jan 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 67389 TX Primary

Addresses

Primary practice location

4425 Plano Pkwy Ste 701
Carrollton, TX 75010-5031

Mailing address

601 Shasta CT
Highland Village, TX 75077-7056
Phone (469) 469-9557

Other practice location 1

298 SW 3rd St
Boca Raton, FL 33432-5916
Phone (561) 215-0208

Other names 1

  • Maria T Isava, LCSW PLLC Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190708000476 TX Practitioner - Clinical Social Worker 8729215678 Reassigns benefits to 1 organization
Practice locations: Carrollton, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1990 Justin Rd
Highland Village, TX 75077-2151
Phone (469) 469-9557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
67389TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Maria T Isava, LCSW PLLC Clinical CurrentSince Oct 21, 2020 Accepting new patients

Locations

1428 W Hebron Pkwy
Ste 135
Carrollton, TX 75010
Phone (469) 469-9557

4425 Plano Pkwy
Ste 701
Carrollton, TX 75010
Phone (214) 912-6720

1990 Justin Rd
Highland Village, TX 75077
Phone (469) 469-9557

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1164769998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SHASTA CT",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750777056",
            "telephone_number": "469-469-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PLANO PKWY STE 701",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750105031",
            "telephone_number": "469-469-9557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "298 SW 3rd St",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334325916",
            "country_code": "US",
            "telephone_number": "561-215-0208",
            "fax_number": "561-368-6420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISAVA",
        "first_name": "MARIA",
        "middle_name": "T",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "67389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "ISAVA, LCSW PLLC",
            "middle_name": "T",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.