Active NPI
Connie Iseman, LCSW, Cap, PA
- Clinical Social Worker
- Winter Park, FL
National Provider Identifier
1699803585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 3513
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.