Isak De Vries, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

086604 Issued in NY

Practice address

80 5TH Ave RM 1206B
New York, NY 10011-8016

Phone

(630) 649-0857

NPI assigned

Sep 10, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1386045359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 5TH AVE RM 1206B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118016",
            "telephone_number": "630-649-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 5TH AVE RM 1206B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118016",
            "telephone_number": "630-649-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE VRIES",
        "first_name": "ISAK",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-10",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayceleen Anne Munez De Vera
• Joo Young De Vera, ACNP-BC
• Michael De Vidas, DSW, LCSW
• David De Vinck, D.O.
• Rosario Antonio De Vito, D.M.D.
• Kristen De Vries, DO
• Alexandra De Waal, PSYD
• Deborah L. De Winter, RN, BA, IBCLC
• De Witt Rehab and Nursing Home Phcy
• Stacey Kathleen De Witt, LMSW

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.