Individual provider Active NPI

Yifat Israeli, MSW, ISW9200

  • Social Worker
  • Cocoa, FL
National Provider Identifier
1609267657
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
ISW9200 Issued in FL
Practice address
550 Saint Johns St
Cocoa, FL 32922-7241
Phone
(321) 639-9800
Fax
(321) 639-6007
NPI assigned
Feb 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ISW9200 FL Primary

Addresses

Primary practice location

550 Saint Johns St
Cocoa, FL 32922-7241

Mailing address

550 Saint Johns St
Cocoa, FL 32922-7241
Phone (321) 639-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ISW9200FLMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1609267657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 SAINT JOHNS ST",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227241",
            "telephone_number": "321-639-9800",
            "fax_number": "321-639-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SAINT JOHNS ST",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227241",
            "telephone_number": "321-639-9800",
            "fax_number": "321-639-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAELI",
        "first_name": "YIFAT",
        "credential": "MSW, ISW9200",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "ISW9200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.