Jacqueline Irwin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000334 Issued in GA

Legal business name

JACQUELINE IRWIN, LCSW

Practice address

1493 Lavista Rd NE
Atlanta, GA 30324-3846

Phone

(404) 667-7267

NPI assigned

Aug 13, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Jacqueline Irwin Walker, LCSW

Title

Owner

Phone

(404) 667-7267

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Irwin, LCSW

  • Clinical Social Worker
  • Atlanta, GA
  • NPI 1053413963
  NPD (past)

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1285949271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2281 BRIANWOOD TRL",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300331719",
            "telephone_number": "404-667-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1493 LAVISTA RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243846",
            "telephone_number": "404-667-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE IRWIN, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "IRWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-667-7267",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "000334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Jacobson
• Terry A Jacobson, M.D.
• Kaitlin Suzanne Jacobwith, PHARMD
• Ehud Jacobzon
• Brenna Jacovetti, M.ED., CCC-SLP
• Arlette Jacquet, LPN
• John Hamilton Jacquot, D.D.S.
• Niharika Jadeja
• Hamid Syed Jafari, M.D.
• Helia Jafari

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.