Yisroel Isaacs, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

086273 Issued in NY

Practice address

75 Montebello Rd
Suffern, NY 10901-3746

Phone

(845) 523-9600

NPI assigned

Feb 25, 2015

Last updated

Mar 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in NY, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Derech Shalom Center IncGroup PAC ID 5496114506, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Derech Shalom Center Inc

  • Case Management Agency
  • Suffern, NY
  • NPI 1477295848
  Medicare reassignment Care Compare group NPD
• Alleyvalley LLC

  • Adult Mental Health Clinic/Center
  • Spring Valley, NY
  • NPI 1013417708
  Medicare reassignment NPD
• Supportive Care Psychology of Ny PC

  • Clinical Psychologist
  • Howell, NJ
  • NPI 1104315068

  NY

  Medicare reassignment NPD
• Triad Counseling & Clinical Service LLC

  dba Triad Counseling & Clinical Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greensboro, NC
  • NPI 1619988938
  Medicare reassignment NPD
• Essence Mental Health Network

  • Clinical Social Worker
  • Suffern, NY
  • NPI 1245988138
  Authorized official Same address or phone
• Mount Care Licensed Behavior Analyst PC

  • Social Worker
  • Spring Valley, NY
  • NPI 1346997913
  NPD

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1679965826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MONTEBELLO RD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109013746",
            "telephone_number": "845-523-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MONTEBELLO RD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109013746",
            "telephone_number": "845-523-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACS",
        "first_name": "YISROEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-25",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Innocent, RN
• Innovative Pathology Services LLC (Emerge)
• Integra Wip Member LLC
• Samantha Iodice, OTD
• Alexandra Iordanescu, M.D.
• James Benjamin Israel, M.D.
• Robert Israel, M.D.
• Rachel Itkowitz, LMT
• J&D Ultracare Corp
• Cynthia Jackson, RN

• Clinical Social Worker in Suffern, NY
• Providers in Suffern, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.