Ciel Ishatova, LCSW, LMFT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2248-123 Issued in WI

Practice address

1619 Monroe St
Madison, WI 53711-2063

Phone

(608) 255-9330

Fax

(608) 255-7810

NPI assigned

Jun 10, 2006

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

Other identifiers 1

Other names 1

• Candace Lynn Goldstone-Hopkins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Integral Psychology Center

  dba The Integral Psychology Center

  • Mental Health Counselor
  • Madison, WI
  • NPI 1366481749
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184457600000",
    "number": "1639110398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 WINNEQUAH RD",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537162030",
            "telephone_number": "608-255-9330",
            "fax_number": "608-255-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 MONROE ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112063",
            "telephone_number": "608-255-9330",
            "fax_number": "608-255-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHATOVA",
        "first_name": "CIEL",
        "name_prefix": "Ms.",
        "credential": "LCSW, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2007-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2248-123",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "261-124",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39255100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDACE",
            "last_name": "GOLDSTONE-HOPKINS",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Isaacson, RD
• Marian M Isdahl
• Jason S Isenberg, M.D.
• Holly L Isenhower, MD
• Susan N Isensee, MD
• Bermans J Iskandar, MD
• Jack Moheb Iskander, PHARM.D
• Salman Sayeed Islam, MD
• Tehmina Islam, CPM, LM
• Tess Isola

• Clinical Social Worker in Madison, WI
• Providers in Madison, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.