Macon Loshawn Irick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004086 Issued in GA

Practice address

5980 9TH St BLDG 1259
Fort Belvoir, VA 22060-5509

Phone

(571) 231-1210

Fax

(571) 231-6808

NPI assigned

Feb 6, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245418763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5980 9TH ST",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220605509",
            "telephone_number": "706-825-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5980 9TH ST BLDG 1259",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220605509",
            "telephone_number": "571-231-1210",
            "fax_number": "571-231-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRICK",
        "first_name": "MACON",
        "middle_name": "LOSHAWN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "8523",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Hyder, PA-C
• Stephen Paul Hyland, MD
• Deatra Idlet-Battle
• Ryan Christopher Inocencio, M.D.
• Stefan Inouye
• Georgina Irondi, LCSW-C
• Leticia Salo Isidro-Clancy, MA, LPC-MFT, LADC
• Carol Bowser Jackson, RN
• Regina Lynne Jacobs, RDH
• John M Jacocks, M.D.

• Clinical Social Worker in Fort Belvoir, VA
• Providers in Fort Belvoir, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.