STILL WATERS LCSW PLLC
NPI 1871388280
Social Worker - Clinical in Flushing, NY

Active since April 14, 2025
16005 76TH AVE APT 1B, FLUSHING, NY 11366(347) 564-3552 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Still Waters Lcsw Pllc NPPES

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

STILL WATERS LCSW PLLC (NPI 1871388280) is a healthcare organization registered as a clinical in Flushing, New York and active in the NPI registry since April 2025. The organization lists Theron De-witt Ison, Ceo, as its authorized official.

NPPES Registry Identity

NPI1871388280
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSTILL WATERS LCSW PLLC
Location Address16005 76TH AVE APT 1BFlushing, NY 11366-1108
Mailing Address16005 76th Ave Apt 1bFlushing, NY 11366-1108 · (347) 564-3552
Organization SubpartNo
Authorized OfficialTheron De-witt IsonCeo · (347) 564-3552
Enumeration DateApril 14, 2025
NPPES CertifiedApril 14, 2025
NPI 1871388280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
16005 76TH AVE APT 1B, Flushing, NY 11366

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
16005 76TH AVE APT 1B
FLUSHING, NY 11366

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 Still Waters Lcsw PLLC's NPI number?

The NPI number for Still Waters Lcsw PLLC is 1871388280. It was assigned to this organization in the NPPES registry on April 14, 2025.

Where is Still Waters Lcsw PLLC located?

Still Waters Lcsw PLLC is located at 16005 76th Ave Apt 1B, Flushing, NY 11366. The listed phone number is (347) 564-3552.

What is Still Waters Lcsw PLLC'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 Still Waters Lcsw PLLC was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.