Yisroel Isaacs, LCSW
Individual provider Active NPI Clinical Social Worker · Suffern, NY
NPI 1679965826 · NPPES record last updated Mar 8, 2022
Key facts
- NPI
- 1679965826
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 086273 (NY)
- Practice address
- 75 Montebello Rd
Suffern, NY 10901-3746 - Phone
- (845) 523-9600
- NPI assigned
- Feb 25, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Derech Shalom Center Inc
Practice addresses (Care Compare)
75 Montebello Rd
Suffern, NY 10901-3746
Phone (845) 523-9300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171228001300 | NY | Practitioner - Clinical Social Worker | 1658639455 |
Reassigns benefits to 3 organizations Practice locations: Suffern, NY |
| I20251118002742 | NC | Practitioner - Clinical Social Worker | 1658639455 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Derech Shalom Center Inc | Current |
Accepting new patients | |
| Triad Counseling & Clinical Service LLC | Current |
Accepting new patients | |
| Mount Care Licensed Behavior Analyst PC | Current |
Accepting new patients | |
| Alleyvalley LLC | Current |
Accepting new patients | |
| Supportive Care Psychology of Ny PC | Current |
Accepting new patients |
Locations
5587 Garden Village Way
Ste D
Greensboro, NC 27410
Phone (336) 272-8090
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
1070 Luther Rd
East Greenbush, NY 12061
Phone (518) 479-4662
7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200
170 Lake St
Liberty, NY 12754
Phone (845) 292-4200
330 Chestnut St
Oneonta, NY 13820
Phone (607) 432-8500
50 Maine Ave
Rockville Ctr, NY 11570
Phone (516) 508-3552
75 Montebello Rd
Suffern, NY 10901
Phone (845) 523-9300
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 086273 | NY | Yes |
Addresses
Primary practice location
75 Montebello Rd
Suffern, NY 10901-3746
Mailing address
75 Montebello Rd
Suffern, NY 10901-3746
Phone (845) 523-9600
Other providers in Suffern, NY
- Valerie Innocent
- Innovative Pathology Services LLC
- Integra Wip Member LLC
- Samantha Iodice
- Alexandra Iordanescu
- James Benjamin Israel
- Robert Israel
- Rachel Itkowitz
- J&D Ultracare Corp
- Cynthia Jackson
All providers in Suffern, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.