Individual provider Active NPI

Carol Louise Irwin, LICSW

  • Social Worker
  • Walla Walla, WA
National Provider Identifier
1174786792
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
2330 Eastgate St Ste 140
Walla Walla, WA 99362
Phone
(509) 593-8122
Fax
(509) 769-5221
NPI assigned
Jul 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

2330 Eastgate St Ste 140
Walla Walla, WA 99362

Mailing address

2330 Eastgate St Ste 140
Walla Walla, WA 99362-1589
Phone (509) 593-8122

Other practice location 1

2330 Eastgate St Ste 140
Walla Walla, WA 99362
Phone (509) 593-8122

Other identifiers 1

IdentifierTypeStateIssuer
LW60811024OtherWALICSW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20190118002446 WA Practitioner - Clinical Social Worker 3870830466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Anchor Point Counseling PLLCGroup PAC ID 5092111674, 10 clinicians

Practice addresses (Care Compare)

828 S 1St Ave
Walla Walla, WA 99362-4003
Phone (509) 593-8122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Point Counseling PLLC CurrentSince Dec 18, 2022 Accepting new patients

Locations

1933 Jadwin Ave
Ste 120
Richland, WA 99354
Phone (509) 593-8122

828 S 1st Ave
Walla Walla, WA 99362
Phone (509) 248-3625

2330 Eastgate St
Ste 140
Walla Walla, WA 99362
Phone (509) 593-8122

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539302400000",
    "number": "1174786792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 EASTGATE ST STE 140",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993621589",
            "telephone_number": "509-593-8122",
            "fax_number": "509-769-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 EASTGATE ST STE 140",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "99362",
            "telephone_number": "509-593-8122",
            "fax_number": "509-769-5221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2330 Eastgate St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Walla Walla",
            "state": "WA",
            "postal_code": "99362",
            "country_code": "US",
            "telephone_number": "509-593-8122",
            "fax_number": "509-769-5221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "CAROL",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2018-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW",
            "identifier": "LW60811024",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

Verify at the official NPI Registry.