Individual provider Active NPI

Zarrina Isanova, LMSW

  • Social Worker
  • Forest Hills, NY
National Provider Identifier
1164792297
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
085379 Issued in NY
Practice address
10225 67TH Dr
Apt 3F
Forest Hills, NY 11375-2860
Phone
(347) 581-2409
NPI assigned
Jan 5, 2012
Last updated
Jan 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 085379 NY Primary

Addresses

Primary practice location

10225 67TH Dr
Apt 3F
Forest Hills, NY 11375-2860

Mailing address

10225 67TH Dr
Apt 3F
Forest Hills, NY 11375-2860
Phone (347) 581-2409

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
085379NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1164792297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 67TH DR",
            "address_2": "APT 3F",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752860",
            "telephone_number": "347-581-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 67TH DR",
            "address_2": "APT 3F",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752860",
            "telephone_number": "347-581-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISANOVA",
        "first_name": "ZARRINA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "085379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.