Active NPI
Carol Louise Irwin, LICSW
- Social Worker
- Walla Walla, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LW60811024 | Other | WA | LICSW |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchor Point Counseling PLLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Walla Walla, WA
- NPI 1235584103
-
- Clinical Social Worker
- Walla Walla, WA
- NPI 1487002622
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.