Individual provider Active NPI

Marcyan Irwin, MSW, LMSW

  • Clinical Social Worker
  • Jackson, MI
National Provider Identifier
1356766687
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801093340 Issued in MI
Practice address
118 S Durand St
Jackson, MI 49203-1506
Phone
(517) 227-6038
NPI assigned
Feb 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801093340 MI Primary

Addresses

Primary practice location

118 S Durand St
Jackson, MI 49203-1506

Mailing address

118 S Durand St
Jackson, MI 49203-1506
Phone (517) 227-6038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211213002484 MI Practitioner - Clinical Social Worker 8022408624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Irwin Counseling Service PLLCGroup PAC ID 3971975004, 10 clinicians

Practice addresses (Care Compare)

300 W Washington Ave
Suite 210B
Jackson, MI 49201-2160
Phone (517) 227-6038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Irwin Counseling Service PLLC CurrentSince Feb 14, 2023 Accepting new patients

Locations

300 W Washington Ave
Ste 210B
Jackson, MI 49201
Phone (517) 227-6038

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1356766687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 S DURAND ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492031506",
            "telephone_number": "517-227-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S DURAND ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492031506",
            "telephone_number": "517-227-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "MARCYAN",
        "name_prefix": "Mrs.",
        "credential": "MSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-24",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.