Doctor Name: | MR. NICHOLAS ISAACS |
NPI Number: | 1124447982 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW |
License Number: | |
Business Practice Address: | 623 Dahl Rd Spearfish, SD - 577832782 |
Business Phone Number: | 6056422777 |
Business Fax Number: | 6056429356 |
Mailing Address: | 350 Elk St, RAPID CITY |
State: | SD |
Postal Code: | 577017351 |
Phone Number: | 6053437262 |
Fax Number: | 6053437293 |
NPI Enumeration Date: | 04/09/2014 |
NPI Last Update Date: | 04/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |