NPIMap

Organization Active NPI

Karen T Irizarry PLLC

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1962534354
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C003720 Issued in NU
Legal business name
KAREN T IRIZARRY PLLC
Practice address
501A Executive PL
Fayetteville, NC 28305-5121
Phone
(910) 484-4776
Fax
(910) 484-1678
NPI assigned
Mar 12, 2007
Last updated
Jan 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Mrs. Karen T Irizarry, LCSWNPI 1619956448
Title
Owner
Phone
(910) 484-4776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C003720 NU Primary

Addresses

Primary practice location

501A Executive PL
Fayetteville, NC 28305-5121

Mailing address

501A Executive PL
Fayetteville, NC 28305-5121
Phone (910) 484-4776

National Provider Directory

National Provider Directory

Locations

161 Magnolia Square Ct
Aberdeen, NC 28315
Phone (910) 757-0714

501 Executive Pl
Ste A
Fayetteville, NC 28305
Phone (910) 484-4776

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1962534354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501A EXECUTIVE PL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055121",
            "telephone_number": "910-484-4776",
            "fax_number": "910-484-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501A EXECUTIVE PL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055121",
            "telephone_number": "910-484-4776",
            "fax_number": "910-484-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN T IRIZARRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "IRIZARRY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-484-4776",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": "C003720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.