Avron Isaac, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC06010500 Issued in NJ

Practice address

323 Kerrigan Blvd Apt 4
Newark, NJ 07106-3455

Phone

(973) 348-6148

NPI assigned

Jul 31, 2021

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

Practice roles

Locations

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.

• Emerald Counseling Services LLC

  • Community/Behavioral Health Agency
  • Newark, NJ
  • NPI 1689342446
  NPD Authorized official

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

{
    "created_epoch": "1627689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1508539883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 KERRIGAN BLVD APT 4",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071063455",
            "telephone_number": "973-348-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 KERRIGAN BLVD APT 4",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071063455",
            "telephone_number": "973-348-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAAC",
        "first_name": "AVRON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-31",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06010500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ironbound Pediatrics PC
• Ironbound Physical Therapy & Wellness
• Ironbound Physical Therapy LLC
• Ironbound Spine & Rehabilitation Center
• Irvin Goldfarb, MD, PA
• Christine Isabella
• Dorothy A Isecke, MD
• Maheen Ishaq, D.D.S.
• Yoshihiro Ishikawa, MD
• Mina Nader Iskander

• Clinical Social Worker in Newark, NJ
• Providers in Newark, 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 May 24, 2022; 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.