Individual provider · Type 1 NPI

Theron Ison, CASAC

Clinical Social Worker · Flushing, NY

NPI number 1598083123 Active

Practice location

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

Mailing address

16005 76th Ave, 1B
Flushing, NY 11366-1108

Other practice locations

  • 9729 64th Rd, Rego Park, NY 11374-2240 · (718) 896-3400

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X17336 (NY)
Clinical Social Worker Primary 1041C0700X098569 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1598083123

Theron Ison, CASAC's National Provider Identifier is 1598083123, issued on May 6, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Flushing, NY. The record was last updated on Nov 7, 2024.