Provider Demographics
NPI:1497565303
Name:PAOLA, ISABELLA MARIE (LCSW)
Entity type:Individual
Prefix:
First Name:ISABELLA
Middle Name:MARIE
Last Name:PAOLA
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 1:905 BARN OWL WAY
Mailing Address - Street 2:
Mailing Address - City:STEWARTSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08886-2914
Mailing Address - Country:US
Mailing Address - Phone:954-913-6960
Mailing Address - Fax:
Practice Address - Street 1:601 CHANNELSIDE WALK WAY APT 1240
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-6738
Practice Address - Country:US
Practice Address - Phone:954-913-6960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW241011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical