Still Waters LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

STILL WATERS LCSW PLLC

Practice address

16005 76TH Ave Apt 1B
Flushing, NY 11366-1108

Phone

(347) 564-3552

NPI assigned

Apr 14, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Theron De-Witt Ison, LCSWNPI 1598083123

Title

Ceo

Phone

(347) 564-3552

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theron Ison, CASAC

  • Clinical Social Worker
  • Flushing, NY
  • NPI 1598083123
  NPD Authorized official

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1871388280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16005 76TH AVE APT 1B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113661108",
            "telephone_number": "347-564-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16005 76TH AVE APT 1B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113661108",
            "telephone_number": "347-564-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL WATERS LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "ISON",
        "authorized_official_first_name": "THERON",
        "authorized_official_middle_name": "DE-WITT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-564-3552",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven S. Weinstein, M.D., P.C.
• Gisela Stevens, NP
• Stewart Bae Medical,PLLC
• Alex Stewart, MD
• David J Stewart, DPM
• Stimson P Schantz MD PLLC
• Jordan Stone, MD
• Sara Strassfeld, MS
• Cherie Straus, OTR/L
• Rachel Straus, PA

• Clinical Social Worker in Flushing, NY
• Providers in Flushing, 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 Apr 14, 2025; 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.