David Issod

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW018492 Issued in PA

Practice address

252 Maryland Ave
Millvale, PA 15209-2742

Phone

(412) 345-1388

NPI assigned

May 16, 2015

Last updated

Mar 17, 2018By the provider in NPPES

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)

Enrolled

State licenses

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

{
    "created_epoch": "1431734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1588042006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8660 REMINGTON DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 MARYLAND AVE",
            "city": "MILLVALE",
            "state": "PA",
            "postal_code": "152092742",
            "telephone_number": "412-345-1388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4249 Upview Ter",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152012247",
            "country_code": "US",
            "telephone_number": "413-231-2999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Terminal Way",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152191209",
            "country_code": "US",
            "telephone_number": "412-345-1388",
            "fax_number": "412-345-1388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4249 Upview Ter",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152012247",
            "country_code": "US",
            "telephone_number": "413-231-2999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISSOD",
        "first_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Millvale, PA
• Providers in Millvale, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.