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

Individual provider Social Worker · NPI 1790337590

Kristofer Mark Isaksen, LCSW is a Social Worker in Baldwin, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2277 Grand Ave
Baldwin, NY 11510-3148
Phone: (516) 377-5400
Fax: (516) 377-5490
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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 · Licence 096585 (NY)
Social Worker Taxonomy 104100000X · Licence 104745 (NY)

Record details

NPI number1790337590
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 11, 2019
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024

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