Mary Connie Iseman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 3513 Issued in FL

Practice address

615 E Princeton St
Suite 3-a
Orlando, FL 32803-1456

Phone

(407) 898-2990

Fax

(407) 830-4548

NPI assigned

Oct 22, 2007

Last updated

Oct 22, 2007By the provider in NPPES

Sex

Female

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)

Enrolled

State licenses

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1538358957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180957",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327180957",
            "telephone_number": "407-898-2990",
            "fax_number": "407-830-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E PRINCETON ST",
            "address_2": "SUITE 3-A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031456",
            "telephone_number": "407-898-2990",
            "fax_number": "407-830-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISEMAN",
        "first_name": "MARY",
        "middle_name": "CONNIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 3513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorleydis Isac Barrientos, RBT
• Khozhiakbar Isakov, DO
• Omar Isbaih
• Amanda L Iscoa
• Luis Alberto Isea Mercado, M.D.
• Shaenor Ishmael, MSW, LCSW
• Tanisha Marie Ishmael
• Keli Ishman, PHARMD
• Ishrat Sohail MD PA
• Isidore Therapeutic Healing Center Inc.

• Clinical Social Worker in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.