Organization Active NPI

Virginia D. Mac Isaac, LCSW, LLC

  • Clinical Social Worker
  • Midland Park, NJ
National Provider Identifier
1871531798
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05172200 Issued in NJ
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.