Katherine Lurene Irwin, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.013960 Issued in IL

Practice address

2110 Clearlake Blvd
Suite 202
Champaign, IL 61822-8931

Phone

(800) 292-3399

Fax

(217) 365-9875

NPI assigned

Jan 21, 2013

Last updated

Jan 21, 2013By 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

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.

• Campion, Barrow and Associates

  • Mental Health Counselor
  • Champaign, IL
  • NPI 1972662997
  NPD (past)

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1871831180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 CLEARLAKE BLVD",
            "address_2": "SUITE 202",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618228931",
            "telephone_number": "800-292-3399",
            "fax_number": "217-365-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 CLEARLAKE BLVD",
            "address_2": "SUITE 202",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618228931",
            "telephone_number": "800-292-3399",
            "fax_number": "217-365-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "KATHERINE",
        "middle_name": "LURENE",
        "name_prefix": "Ms.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-21",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.013960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Renee Irelan, PMHNP-BC, FNP-C
• Linda Irle, NP
• Krishna M Irrinki, M.D
• Andrea Gabrielle Irwin, LMHC
• Kacy Irwin
• Jessica Chase Islam, OD, MPH, FAAO
• Tiara Ivy
• J a K Enterprises Inc (Bard Optical)
• Jackson Chiropractic PC
• Rachel Jackson Green, MSW, LSW

• Social Worker in Champaign, IL
• Providers in Champaign, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.

Verify at the official NPI Registry.