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THERON ISON CASAC
NPI 1598083123
Social Worker - Clinical in Flushing, NY

Active since May 06, 2010
16005 76TH AVE APT 1B, FLUSHING, NY 11366(347) 564-3552 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theron Ison Casac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERON ISON CASAC (NPI 1598083123) is an individual clinical provider in Flushing, New York, licensed in New York (098569) and active in the NPI registry since May 2010. He maintains a secondary practice location in Rego Park.

NPPES Registry Identity

NPI1598083123
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTHERON ISONCredential: CASAC
Location Address16005 76TH AVE APT 1BFlushing, NY 11366-1108
Mailing Address16005 76th Ave, 1bFlushing, NY 11366-1108 · (347) 564-3552
Phone(347) 564-3552
Sole ProprietorNo
Enumeration DateMay 6, 2010
Last NPPES UpdateNovember 7, 2024
NPPES CertifiedNovember 7, 2024
✔ NPI 1598083123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 098569
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 17336 (NY)
16005 76TH AVE APT 1B, Flushing, NY 11366
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Secondary Practice Location 1

Location 19729 64th RdRego Park, NY 11374-2240 · Phone (718) 896-3400 · Fax (718) 459-5621

Other Identifiers 1

Medicaid00244019NY

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STILL WATERS LCSW PLLC
Social Worker (Clinical)
16005 76TH AVE APT 1B
FLUSHING, NY 11366
Queens County (347) 564-3552

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theron Ison's NPI number?

The NPI number for Theron Ison is 1598083123. It was assigned to this individual provider in the NPPES registry on May 6, 2010.

Where is Theron Ison located?

Theron Ison practices at 16005 76th Ave Apt 1B, Flushing, NY 11366. The listed phone number is (347) 564-3552.

What is Theron Ison's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Theron Ison was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.