Jessica Irwin, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC61340115 Issued in WA

Practice address

1200 Lakeway Dr Ste 8
Bellingham, WA 98229-2034

Phone

(360) 553-1007

NPI assigned

Sep 26, 2017

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

Practice roles

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.

• Lake Whatcom Residential & Treatment Center

  • Community/Behavioral Health Agency
  • Bellingham, WA
  • NPI 1043281736

  Mental Health

  NPD (past)
• Lake Whatcom Residential & Treatment Center

  • Case Management Agency
  • Bellingham, WA
  • NPI 1780991844
  NPD (past)

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1811406572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 LAKEWAY DR STE 8",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982292034",
            "telephone_number": "360-553-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 LAKEWAY DR STE 8",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982292034",
            "telephone_number": "360-553-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "JESSICA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61340115",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrative Physical Therapy Services
• International Centers for Integrative Health, LLC
• Gabriel Iraheta
• Mark Irvine, RPH
• Jeremy Ryan Irwin
• Noah Curtis Isaacs-Black
• Lawrence S Ishii, PHARM.D.
• Kamrul Islam, MD
• Bilal Ittiq, MD
• Ryan Michael Itzcovich Schuster

• Clinical Social Worker in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.