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

Isak De Vries, LCSW

Individual provider Clinical Social Worker · NPI 1386045359

Isak De Vries, LCSW is a Clinical Social Worker in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014
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

80 5th Ave Rm 1206B
New York, NY 10011-8016
Phone: (630) 649-0857
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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 086604 (NY)

Record details

NPI number1386045359
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 10, 2014
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026

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