Individual
DAVID PAUL IRWIN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW, LCSW
Contact information
Practice address
421 E 137TH ST, KANSAS CITY, MO 64145-1455
(816) 508-3758
(816) 508-3797
Mailing address
421 E 137TH ST, KANSAS CITY, MO 64145-1455
(816) 508-3758
(816) 508-3797
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1928
KS
1041C0700X
Clinical Social Worker
Primary
2013010964
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098010
—
KS
01
—
29170016
BCBS OF KC
—
Enumeration date
08/30/2006
Last updated
05/08/2013
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