| Virginia D. Mac Isaac, Lcsw, Llc | |
|
323 Godwin Ave Midland Park NJ 07432-1501 | |
| (201) 444-3533 | |
| Not Available |
| Full Name | Virginia D. Mac Isaac, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 323 Godwin Ave, Midland Park, New Jersey |
| Authorized Official Name and Position | Virginia D. Mac Isaac (MANAGING MEMBER) |
| Authorized Official Contact | 2014443533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia D. Mac Isaac, Lcsw, Llc 615 Blue Ridge Ln Mahwah NJ 07430-3417 Ph: (201) 444-3533 | Virginia D. Mac Isaac, Lcsw, Llc 323 Godwin Ave Midland Park NJ 07432-1501 Ph: (201) 444-3533 |
| NPI Number | 1871531798 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871531798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05172200 (New Jersey) | Primary |
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