Ida Elizabeth McNiel-Isaacs, LCAS, LCSW
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Newland, NC
NPI 1457598187 · NPPES record last updated Jan 7, 2011
Key facts
- NPI
- 1457598187
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 1312 (NC)
- Practice address
- 360 Beech Street
Newland, NC 28657-0040 - Phone
- (828) 733-5889
- NPI assigned
- Jan 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C006853 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New River Service Authority | Past | Accepting new patients | |
| New River Service Authority | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1312 | NC | Yes |
| Clinical Social Worker | 1041C0700X | C006853 | NC |
Addresses
Primary practice location
360 Beech Street
Newland, NC 28657-0040
Mailing address
360 Beech Street
Newland, NC 28657-0040
Phone (828) 733-5889
Other providers in Newland, NC
- William McGuire
- Elizabeth Cherveny McKeon
- Craig McKinney
- Debbie Lynn McKinney
- Kelly Sigmon McLaurin
- Medical Services of America Inc
- Medical Services of America, Inc
- Nanji Mokola
- New River Mental Health Center
- New River Mental Health Center
All providers in Newland, NC · Addiction (Substance Use Disorder) Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.