Mario Hipolito Irigoyen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05377600 Issued in NJ

Practice address

61 Grand Ave
Englewood, NJ 07631-3572

Phone

(914) 671-3924

Fax

(845) 942-1894

NPI assigned

Jan 27, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mario H Irigoyen LCSW - LLC

  • Community/Behavioral Health Agency
  • Englewood, NJ
  • NPI 1831470723
  Medicare reassignment NPD Authorized official
• Hudson River Care and Counseling, LLC

  • Clinical Social Worker
  • Englewood, NJ
  • NPI 1821392473
  NPD (past)
• Hudson River Care and Counseling, LLC.

  • Clinical Social Worker
  • Hoboken, NJ
  • NPI 1598115966
  NPD (past)

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315180800000",
    "number": "1952607608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313572",
            "telephone_number": "914-671-3924",
            "fax_number": "845-942-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313572",
            "telephone_number": "914-671-3924",
            "fax_number": "845-942-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIGOYEN",
        "first_name": "MARIO",
        "middle_name": "HIPOLITO",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-27",
        "last_updated": "2011-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05377600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARIO H IRIGOYEN LCSW LLC",
            "identifier": "275406118",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Santiago Miguel Imhoff, M.D.
• Inadvance Medicine Associates East
• Instinct Acupuncture and Wellness
• Integrative Medical Solutions LLC
• Irby Spine Care PC
• Isd Renal Inc
• Rachele Pascual Isip, RN, MSN, APN, AGNP-C
• David Istvan, MD
• Tiffany Catherine Italiano, BSN, RN
• Stefanie Jacobs, MD

• Clinical Social Worker in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.