Organization Active NPI

Connie Iseman, LCSW, Cap, PA

  • Clinical Social Worker
  • Winter Park, FL
National Provider Identifier
1699803585
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 3513 Issued in FL
Legal business name
CONNIE ISEMAN, LCSW, CAP, PA
Practice address
1375 S Semoran Blvd
Suite 1305
Winter Park, FL 32792-5529
Phone
(407) 339-2279
Fax
(407) 830-4548
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
(Mary ) Connie Iseman, LCSW
Title
President
Phone
(407) 339-2279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW 3513 FL Primary

Addresses

Primary practice location

1375 S Semoran Blvd
Suite 1305
Winter Park, FL 32792-5529

Mailing address

PO Box 180957
Casselberry, FL 32718-0957
Phone (407) 339-2279

National Provider Directory

National Provider Directory

Locations

1035 S Semoran Blvd
Bldg 2
Winter Park, FL 32792
Phone (407) 339-2279

1375 S Semoran Blvd
Ste 1305
Winter Park, FL 32792
Phone (407) 339-2279

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1699803585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180957",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327180957",
            "telephone_number": "407-339-2279",
            "fax_number": "407-830-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 S SEMORAN BLVD",
            "address_2": "SUITE 1305",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925529",
            "telephone_number": "407-339-2279",
            "fax_number": "407-830-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNIE ISEMAN, LCSW, CAP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "ISEMAN",
        "authorized_official_first_name": "(MARY )",
        "authorized_official_middle_name": "CONNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-339-2279",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 3513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.