Irene Degangi, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

13175 Issued in NC

Practice address

5019 Hamilton Mill Dr
Waxhaw, NC 28173-6053

Phone

(718) 877-9366

NPI assigned

Oct 29, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Irene Russo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1073766457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 ELTINGVILLE BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122107",
            "telephone_number": "718-877-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5019 HAMILTON MILL DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736053",
            "telephone_number": "718-877-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGANGI",
        "first_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-29",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "13175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRENE",
            "last_name": "RUSSO",
            "credential": "M.A., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Maura David, MSW, LCSW
• Erin Nichole Davis, RDN
• Laurel Anne Davis
• Sierra Davis, DC
• Jordan Nicole Defilippo, SLP
• Karen Degraaf, LPC
• Rachel Marie Delany, MSW, LCSWA
• Marissa Delaurentiis, PT, DPT
• Sherry Demaison, FNP
• Denali Therapeutics

• Speech-Language Pathologist in Waxhaw, NC
• Providers in Waxhaw, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.