Tina Marie Dougherty Irwin, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

105417-1 Issued in NY

Practice address

58 Van Scoy Rd
Poughquag, NY 12570-5235

Phone

(914) 489-2336

NPI assigned

Feb 18, 2019

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

• Tina D. Irwin Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1154887875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 VAN SCOY RD",
            "city": "POUGHQUAG",
            "state": "NY",
            "postal_code": "125705235",
            "telephone_number": "914-489-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 VAN SCOY RD",
            "city": "POUGHQUAG",
            "state": "NY",
            "postal_code": "125705235",
            "telephone_number": "914-489-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY IRWIN",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "105417-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "D. IRWIN",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Victoria Dammann
• Brooke Delia, ATC
• Emily Deluca
• Deborah Ann Devlin, SLP
• Rebecca Rose Diaz, M.S.
• DRS. Volz & Amato
• Debra Duryeamaher
• Charles Sherwood Emmons III, DC
• Jeffrey Joseph Ferrer, D.M.D.
• Christine Fitzgerald, M.ED., W.D.T., A/AO

• Social Worker in Poughquag, NY
• Providers in Poughquag, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.