Theron Ison, CASAC is a
Social Worker - Clinical based in Flushing, New York. Theron Ison is licensed to practice in New York (license number 098569) and his current practice location is
16005 76th Ave Apt 1b, Flushing, New York. He can be reached at his office (for appointments etc.) via phone at
(347) 564-3552.
NPI number for Theron Ison is 1598083123 and his current mailing address is 16005 76th Ave, 1b, Flushing, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598083123.
Healthcare Provider's Profile
Full Name | Theron Ison |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 16005 76th Ave Apt 1b, Flushing, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1598083123
- Provider Enumeration Date: 05/06/2010
- Last Update Date: 11/07/2024
Medical Identifiers
Medical identifiers for Theron Ison such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598083123 | NPI | - | NPPES |
00244019 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 17336 (New York) | Secondary |
1041C0700X | Social Worker - Clinical | 098569 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theron Ison is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Theron Ison, CASAC 16005 76th Ave, 1b, Flushing, NY 11366-1108 Ph: (347) 564-3552 | Theron Ison, CASAC 16005 76th Ave Apt 1b, Flushing, NY 11366-1108 Ph: (347) 564-3552 |
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