Individual provider Active NPI

Liam Brian Irwin, LMSW

  • Clinical Social Worker
  • Hudson Falls, NY
National Provider Identifier
1124632641
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110095 Issued in NY
Practice address
15 Boulevard St
Hudson Falls, NY 12839-1001
Phone
(518) 747-2994
Fax
(518) 747-2996
NPI assigned
Sep 2, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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 110095 NY Primary

Addresses

Primary practice location

15 Boulevard St
Hudson Falls, NY 12839-1001

Mailing address

73 Martindale Ave
Hudson Falls, NY 12839-1727
Phone (518) 932-5328

Other practice location 1

73 Martindale Ave
Hudson Falls, NY 12839-1727
Phone (518) 932-5328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
110095NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1124632641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 MARTINDALE AVE",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "128391727",
            "telephone_number": "518-932-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BOULEVARD ST",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "128391001",
            "telephone_number": "518-747-2994",
            "fax_number": "518-747-2996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 Martindale Ave",
            "address_purpose": "LOCATION",
            "city": "Hudson Falls",
            "state": "NY",
            "postal_code": "128391727",
            "country_code": "US",
            "telephone_number": "518-932-5328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "LIAM",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "110095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.