Jennifer Robertine Isaac, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

103001 Issued in NY

Practice address

3305 Jerusalem Ave Ste 207
Wantagh, NY 11793-2028

Phone

(516) 785-0323

NPI assigned

Dec 2, 2021

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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.

• South Shore Counseling and Psychological Services P C

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wantagh, NY
  • NPI 1336209469
  NPD (past)

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1508524984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 JERUSALEM AVE STE 207",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932028",
            "telephone_number": "516-785-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 JERUSALEM AVE STE 207",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932028",
            "telephone_number": "516-785-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAAC",
        "first_name": "JENNIFER",
        "middle_name": "ROBERTINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "113940",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "103001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imperium Physical Therapy PLLC
• Christine Impieri
• Lynne Intintoli
• Deepa Madhavan Ipektchi, D.D.S.
• Vahid Ipektchi
• Jaeger Nutrition, LLC
• James J. Brostowin, D.C., P.C.
• William Halsted James, PH.D.
• Francesca Jannello, MS
• Jenifer Kramer MD PC

• Clinical Social Worker in Wantagh, NY
• Providers in Wantagh, 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 May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.