Individual provider Active NPI

Marilyn Nona Isaacson, RN, LCSW

  • Clinical Social Worker
  • West Hartford, CT
National Provider Identifier
1710030846
Registry record updated Aug 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW002480 Issued in CT
Practice address
61 S Main St
Suite 209
West Hartford, CT 06107-2486
Phone
(860) 521-0504
Fax
(860) 521-0506
NPI assigned
Jan 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW002480 CT Primary

Addresses

Primary practice location

61 S Main St
Suite 209
West Hartford, CT 06107-2486

Mailing address

61 S Main St
Suite 209
West Hartford, CT 06107-2486
Phone (860) 521-0504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
SW002480CTMDClinical Social Worker
002480CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Health Associates LLC Clinical PastSince Aug 30, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219536000000",
    "number": "1710030846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 S MAIN ST",
            "address_2": "SUITE 209",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072486",
            "telephone_number": "860-521-0504",
            "fax_number": "860-521-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 S MAIN ST",
            "address_2": "SUITE 209",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072486",
            "telephone_number": "860-521-0504",
            "fax_number": "860-521-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACSON",
        "first_name": "MARILYN",
        "middle_name": "NONA",
        "name_prefix": "Ms.",
        "credential": "RN, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-20",
        "last_updated": "2008-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "SW002480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2008; 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.