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NPI Code Detail

MEDICARE: DAVID PAUL IRWIN II LSCSW, LCSW

MEDICARE: DAVID PAUL IRWIN II LSCSW, LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker1928KS
21041C0700XClinical Social Worker2013010964MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
229170016OTHERBCBS OF KC

General Provider Information

NPI Number : 1851400790
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID PAUL IRWIN II LSCSW, LCSW
Provider Business Mailing Address
First Line : 421 E 137TH ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64145-1455
Country : US
Telephone Number : 816-508-3758
Fax Number : 816-508-3797
Provider Business Practice Location Address
First Line : 421 E 137TH ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64145-1455
Country : US
Telephone Number : 816-508-3758
Fax Number : 816-508-3797
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 05/08/2013

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