Kerry Isgur, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05920900 Issued in NJ

Practice address

567 Park Ave Ste 204
Scotch Plains, NJ 07076-1754

Phone

(908) 242-3634

Fax

(908) 224-0977

NPI assigned

Apr 13, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 19, 2021 through Apr 19, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Brave Minds Psychological Services

  • Clinical Psychologist
  • Scotch Plains, NJ
  • NPI 1619414885
  NPD (past)

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1376939736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 PARK AVE STE 204",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761754",
            "telephone_number": "908-242-0977",
            "fax_number": "908-224-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 PARK AVE STE 204",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761754",
            "telephone_number": "908-242-3634",
            "fax_number": "908-224-0977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3114 30th Ave",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111021530",
            "country_code": "US",
            "telephone_number": "718-204-1200",
            "fax_number": "718-204-1276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISGUR",
        "first_name": "KERRY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-13",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088859",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05920900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hudson Counseling Services LLC
• Sean Hudson
• Franz Josef Hummert, MD
• Kimberly Hurley, OTR/L
• Carol Hyman
• Jaan Enterprises LLC
• Cas Jakubik, LPC
• Jewel of Life Counseling, LLC
• Amber Maria Johnson, PSY.D.
• Janet Nicole Johnson, PMHNP

• Clinical Social Worker in Scotch Plains, NJ
• Providers in Scotch Plains, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.