Irma Pavlovic, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LMSW-38751 Issued in ID

Practice address

847 Sun Peak Way
Twin Falls, ID 83301-8977

Phone

(208) 420-5336

NPI assigned

Oct 31, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Irma Huseinbegovic Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Bloom Therapy LLC

  • Counselor
  • Twin Falls, ID
  • NPI 1720794852
  NPD Authorized official

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

{
    "created_epoch": "1635638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635638400000",
    "number": "1225793771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 SUN PEAK WAY",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018977",
            "telephone_number": "208-420-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 SUN PEAK WAY",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018977",
            "telephone_number": "208-420-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLOVIC",
        "first_name": "IRMA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-31",
        "last_updated": "2021-10-31",
        "certification_date": "2021-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LMSW-38751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW LICENSE NUMBER",
            "identifier": "LMSW-38751",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRMA",
            "last_name": "HUSEINBEGOVIC",
            "credential": "N/A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kenneth E Pattersom, DDS
• Bill Jay Patterson Sr.
• Thomas Joseph Patterson, D.M.D.
• Lonnie Paul, LPC
• Kim Paulson, RNFA
• George Thomas Payne, L. C. S. W.
• Rose Maire Payne
• Peak Medical of Idaho LLC
• Alexis Pearson, LCSW
• Cindy L Pearson, BC-HIS

• Clinical Social Worker in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2021; 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.