Irene Molyneux Temple, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904003725 Issued in VA

Practice address

7864 Richmond Tappahannock Hwy
Aylett, VA 23009-3056

Phone

(804) 535-0145

Fax

(804) 727-8580

NPI assigned

Feb 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Commonwealth Medical College, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Upper Mattaponi Indian Tribe 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Upper Mattaponi Indian Tribe

  • Primary Care Clinic/Center
  • Aylett, VA
  • NPI 1750969168

  TX

  Medicare reassignment Care Compare group NPD
• Upper Mattaponi Indian Tribe

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • King William, VA
  • NPI 1144077470
  Care Compare group
• Upper Mattaponi Indian Tribe

  • Dental Clinic/Center
  • Aylett, VA
  • NPI 1245098391
  NPD

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1174664429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7864 RICHMOND TAPPAHANNOCK HWY",
            "city": "AYLETT",
            "state": "VA",
            "postal_code": "230093056",
            "telephone_number": "804-535-0145",
            "fax_number": "804-727-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7864 RICHMOND TAPPAHANNOCK HWY",
            "city": "AYLETT",
            "state": "VA",
            "postal_code": "230093056",
            "telephone_number": "804-535-0145",
            "fax_number": "804-727-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLE",
        "first_name": "IRENE",
        "middle_name": "MOLYNEUX",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2167235",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "O81421",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "466168",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001529971",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA PREMIER",
            "identifier": "4945131",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "588121-000",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Resource Guidance Services Inc
• Guinetta Russell
• Brittany R Sinden
• Jennifer K Stirgwolt, DO
• Phyllis R. Sykes, NP-C
• Lance Edward Townsend, PT
• Trusted Care Private Duty Services
• Alan K Tupponce, M.D.
• Upper Mattaponi Indian Tribe
• Upper Mattaponi Indian Tribe

• All providers in Aylett, VA
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.