Active NPI
Virginia D. Mac Isaac, LCSW, LLC
- Clinical Social Worker
- Midland Park, NJ
National Provider Identifier
1871531798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05172200
- Legal business name
- VIRGINIA D. MAC ISAAC, LCSW, LLC
- Practice address
- 323 Godwin Ave
Midland Park, NJ 07432-1501 - Phone
- (201) 444-3533
- NPI assigned
- Jun 3, 2006
- 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
- Virginia D. Mac Isaac, LCSW
- Title
- Managing Member
- Phone
- (201) 444-3533
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05172200 | NJ | Primary |
Addresses
Primary practice location
323 Godwin Ave
Midland Park, NJ 07432-1501
Mailing address
615 Blue Ridge LN
Mahwah, NJ 07430-3417
Phone (201) 444-3533
National Provider Directory
National Provider DirectoryLocations
323 Godwin Ave
Midland Park, NJ 07432
Phone (201) 444-3533
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Midland Park, NJ
- NPI 1063436855
-
- Clinical Social Worker
- Ridgewood, NJ
- NPI 1538333588
-
- Psychologist
- Ridgewood, NJ
- NPI 1114041233
-
- Psychologist
- Ridgewood, NJ
- NPI 1346384609
-
- Clinical Psychologist
- Rutherford, NJ
- NPI 1891932745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1871531798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 BLUE RIDGE LN",
"city": "MAHWAH",
"state": "NJ",
"postal_code": "074303417",
"telephone_number": "201-444-3533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 GODWIN AVE",
"city": "MIDLAND PARK",
"state": "NJ",
"postal_code": "074321501",
"telephone_number": "201-444-3533"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIRGINIA D. MAC ISAAC, LCSW, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MAC ISAAC",
"authorized_official_first_name": "VIRGINIA",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "201-444-3533",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05172200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midland Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.