Provider Demographics
NPI:1992262398
Name:HONES, ISIS C (LCSW)
Entity type:Individual
Prefix:
First Name:ISIS
Middle Name:C
Last Name:HONES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7154 S UNIVERSITY DR
Mailing Address - Street 2:SUITE 81
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-4268
Mailing Address - Country:US
Mailing Address - Phone:954-531-7901
Mailing Address - Fax:
Practice Address - Street 1:7154 S UNIVERSITY DR
Practice Address - Street 2:SUITE 81
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-4268
Practice Address - Country:US
Practice Address - Phone:954-531-7901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-22
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW152681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical