Active NPI
Priscilla Joanne Marty Irizarry, MSW
- Clinical Social Worker
- Mayaguez, PR
National Provider Identifier
1164155560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14916
- Practice address
- Mayaguez Medical Center
Carr #2
Mayaguez, PR 00680 - Phone
- (787) 832-9737
- NPI assigned
- Jul 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14916 | PR | Primary |
Addresses
Primary practice location
Mayaguez Medical Center
Carr #2
Mayaguez, PR 00680
Mailing address
PMB 102
PO Box 5103
Cabo Rojo, PR 00623
Phone (787) 605-8310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14916 | Other | PR | SOCIAL WORK PERMANENT LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://priscillamsw.free.beeceptor.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14916 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656979200000",
"number": "1164155560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PMB 102",
"address_2": "PO BOX 5103",
"city": "CABO ROJO",
"state": "PR",
"postal_code": "00623",
"telephone_number": "787-605-8310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MAYAGUEZ MEDICAL CENTER",
"address_2": "CARR #2",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00680",
"telephone_number": "787-832-9737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTY IRIZARRY",
"first_name": "PRISCILLA",
"middle_name": "JOANNE",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-05",
"last_updated": "2022-07-05",
"certification_date": "2022-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "14916",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORK PERMANENT LICENSE",
"identifier": "14916",
"state": "PR"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://priscillamsw.free.beeceptor.com",
"affiliation": "N",
"endpointDescription": "Work E mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "E mail",
"address_1": "Mayaguez Medical Center",
"address_2": "Carr #2",
"city": "Mayaguez",
"state": "PR",
"country_code": "US",
"postal_code": "00680",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.