Individual provider Active NPI

Loryn Traversi-Irwin

  • Clinical Social Worker
  • Plymouth, MA
National Provider Identifier
1053818690
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
120470 Issued in MA
Practice address
100 Armstrong Rd
Plymouth, MA 02360-7219
Phone
(508) 209-4438
NPI assigned
Apr 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 120470 MA Primary

Addresses

Primary practice location

100 Armstrong Rd
Plymouth, MA 02360-7219

Mailing address

15 Placid Bay Dr
Plymouth, MA 02360-7119
Phone (978) 697-7730

Other names 1

  • Loryn Irwin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181217002564 MA Practitioner - Clinical Social Worker 8729323969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychology Associates IncGroup PAC ID 8628171501, 10 clinicians

Practice addresses (Care Compare)

323 Court St
Plymouth, MA 02360-4322
Phone (508) 747-2718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology Associates Inc. Clinical CurrentSince Oct 22, 2018 Accepting new patients

Locations

323 Court St
Plymouth, MA 02360
Phone (508) 747-2705

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/psych-associate

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1053818690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PLACID BAY DR",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607119",
            "telephone_number": "978-697-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ARMSTRONG RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607219",
            "telephone_number": "508-209-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVERSI-IRWIN",
        "first_name": "LORYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORYN",
            "last_name": "IRWIN",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.