Joan L Irvine, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904003178 Issued in VA

Practice address

260 Grayson Road
Jewish Family Service of Tidewater Inc
Virginia Beach, VT 23462-4345

Phone

(757) 459-4640

Fax

(757) 459-4643

NPI assigned

Dec 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jewish Family Service of Tidewater, Incorporated

  • Clinical Social Worker
  • Virginia Beach, VA
  • NPI 1124088638
  NPD (past)
• Jewish Family Service of Tidewater, Incorporated

  • Home Health Agency
  • Virginia Beach, VA
  • NPI 1790791176
  NPD (past)
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811056732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 GRAYSON ROAD",
            "address_2": "JEWISH FAMILY SERVICE OF TIDEWATER INC",
            "city": "VIRGINIA BEACH",
            "state": "VT",
            "postal_code": "234624345",
            "telephone_number": "757-459-4640",
            "fax_number": "757-459-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 GRAYSON ROAD",
            "address_2": "JEWISH FAMILY SERVICE OF TIDEWATER INC",
            "city": "VIRGINIA BEACH",
            "state": "VT",
            "postal_code": "234624345",
            "telephone_number": "757-459-4640",
            "fax_number": "757-459-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVINE",
        "first_name": "JOAN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908630",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "331668",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neurological Consultants of Virginia Beach

• Clinical Social Worker in Virginia Beach, VT
• Providers in Virginia Beach, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.