Sarah Irvine, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.020326 Issued in IL

Practice address

1640 N Wells St Unit 103
Chicago, IL 60614-6006

Phone

(312) 642-4300

NPI assigned

Jun 18, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sarah Malatt Former name

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.

• Oak Tree Developmental Center

  • Specialist
  • Chicago, IL
  • NPI 1174652614
  NPD (past)

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536451200000",
    "number": "1992299408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 N WELLS ST UNIT 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543733",
            "telephone_number": "312-642-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 N WELLS ST UNIT 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606146006",
            "telephone_number": "312-642-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVINE",
        "first_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "MALATT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Irowa & Associates PC
• Nyehla Sarahfina Aruba Irsheid, CD (DONA)
• Sireen Irsheid
• Irvin Wiesman, MD SC
• Samuel Irvine
• Irving Park Dentistry, Inc.
• Irving Park Emergency Physicians LLC
• Irving Park Family Dentist
• Irving Park Living and Rehab Center LLC
• Irving Park Periodontics, LTD.

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2018; 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.