Julie Lynne Irvine, CSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

A13894 Issued in OR

Practice address

22300 SW Boones Ferry Rd
Tualatin, OR 97062-7373

Phone

(503) 941-3180

Fax

(503) 563-6969

NPI assigned

Sep 28, 2016

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sound

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tukwila, WA
  • NPI 1780774950
  NPD (past)

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1194274431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 SW HUNZIKER RD STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972232302",
            "telephone_number": "503-941-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22300 SW BOONES FERRY RD",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627373",
            "telephone_number": "503-941-3180",
            "fax_number": "503-563-6969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1841 SW Merlo Dr",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970035013",
            "country_code": "US",
            "telephone_number": "503-941-3210",
            "fax_number": "503-592-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRVINE",
        "first_name": "JULIE",
        "middle_name": "LYNNE",
        "credential": "CSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-28",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A13894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500815438",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Gay Ingram, FNP
• Injury Specialists of Oregon PC
• Integrity Chiropractic & PT
• Internal Medicine Northwest,LLC
• Keith Leland Ironside Jr., M.D.
• Emoniel Isakharov
• Michael A Isleman, ASCP
• Matthew Ito, PHARM.D.
• J. Mason Depasse, MD, PC
• Desire Jackson

• Clinical Social Worker in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.