Active NPI
Karen Marie Irving, LBSW
- Social Worker
- Wyoming, MI
National Provider Identifier
1578996856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6802064864
- Practice address
- 3353 Lousma Dr. SE
Wyoming, MI 49548 - Phone
- (616) 241-6258
- Fax
- (616) 241-6470
- NPI assigned
- Aug 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6802064864 | MI | Primary |
Addresses
Primary practice location
3353 Lousma Dr. SE
Wyoming, MI 49548
Mailing address
1010 Kenalex Court
Sparta, MI 49345
Phone (616) 643-7288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6802064864 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376006400000",
"number": "1578996856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 KENALEX COURT",
"city": "SPARTA",
"state": "MI",
"postal_code": "49345",
"telephone_number": "616-643-7288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3353 LOUSMA DR. SE",
"city": "WYOMING",
"state": "MI",
"postal_code": "49548",
"telephone_number": "616-241-6258",
"fax_number": "616-241-6470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRVING",
"first_name": "KAREN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LBSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-09",
"last_updated": "2013-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6802064864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyoming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.