Individual provider Active NPI

Neima I. Isaac, DSW, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1740462555
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO14314-1 Issued in NY
Practice address
240 E 82ND St
# 19G
New York, NY 10028-2703
Phone
(212) 988-1754
Fax
(646) 290-7563
NPI assigned
Dec 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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 RO14314-1 NY Primary

Addresses

Primary practice location

240 E 82ND St
# 19G
New York, NY 10028-2703

Mailing address

240 E 82ND St
# 19G
New York, NY 10028-2703
Phone (212) 988-1754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110401000203 NY Practitioner - Clinical Social Worker 5890978688 Practice locations: Ny, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

240 E 82ND St
Apt 19G
Ny, NY 10028-2737
Phone (212) 988-1754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RO14314-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1740462555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E 82ND ST",
            "address_2": "# 19G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282703",
            "telephone_number": "212-988-1754",
            "fax_number": "646-290-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E 82ND ST",
            "address_2": "# 19G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282703",
            "telephone_number": "212-988-1754",
            "fax_number": "646-290-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAAC",
        "first_name": "NEIMA",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO14314-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.