Active NPI
Gary Len Isaacs, LCSW
- Clinical Social Worker
- Fort Worth, TX
National Provider Identifier
1255469169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 29787
- Practice address
- 801 W Cannon St
Fort Worth, TX 76104-3147 - Phone
- (817) 335-1994
- Fax
- (817) 335-3617
- NPI assigned
- Mar 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 29787 | TX | Primary |
Addresses
Primary practice location
801 W Cannon St
Fort Worth, TX 76104-3147
Mailing address
2328 Lakeshore Dr
Flower Mound, TX 75028-4638
Phone (972) 724-1959
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Assurasource LTD | Clinical | Past | Accepting new patients |
| AIDS Outreach Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Fort Worth, TX
- NPI 1285761999
-
- Clinical Social Worker
- Plano, TX
- NPI 1194746016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255469169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2328 LAKESHORE DR",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750284638",
"telephone_number": "972-724-1959",
"fax_number": "817-335-3617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W CANNON ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043147",
"telephone_number": "817-335-1994",
"fax_number": "817-335-3617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAACS",
"first_name": "GARY",
"middle_name": "LEN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "29787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.