Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Still Waters LCSW PLLC

Organization Clinical Social Worker · NPI 1871388280

Still Waters LCSW PLLC is a Clinical Social Worker in Flushing, New York. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16005 76th Ave Apt 1B
Flushing, NY 11366-1108
Phone: (347) 564-3552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1871388280
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theron Ison — Ceo · (347) 564-3552
NPI enumeratedApril 14, 2025
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025
Mailing address16005 76th Ave Apt 1b, Flushing, NY 11366-1108

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