Active NPI
Alicia D Isaacs, LSW
- Social Worker
- Jasper, IN
National Provider Identifier
1205104007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 99049457A
- Practice address
- 480 Eversman Dr
Jasper, IN 47546-3548 - Phone
- (812) 482-3020
- Fax
- (812) 482-6409
- NPI assigned
- Dec 7, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 99049457A | IN | Primary |
Addresses
Primary practice location
480 Eversman Dr
Jasper, IN 47546-3548
Mailing address
480 Eversman Dr
PO Box 769
Jasper, IN 47546-3548
Phone (812) 482-3020
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 |
|---|---|---|---|
| 99049457A | IN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323216000000",
"number": "1205104007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 EVERSMAN DR",
"address_2": "PO BOX 769",
"city": "JASPER",
"state": "IN",
"postal_code": "475463548",
"telephone_number": "812-482-3020",
"fax_number": "812-482-6409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 EVERSMAN DR",
"city": "JASPER",
"state": "IN",
"postal_code": "475463548",
"telephone_number": "812-482-3020",
"fax_number": "812-482-6409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAACS",
"first_name": "ALICIA",
"middle_name": "D",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-07",
"last_updated": "2011-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "99049457A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jasper, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.