Individual provider · Type 1 NPI

Ivy Vanessa Irvine, L.C.S.W.

Clinical Social Worker · Missoula, MT

NPI number 1467768705 Active

Practice location

2112 Dixon Ave
Missoula, MT 59801-8226

Mailing address

PO Box 1384
Lolo, MT 59847

Other practice locations

  • 725 W Alder St Ste 28, Missoula, MT 59802-4026 · (406) 546-0082

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X924 (MT)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1467768705

Ivy Vanessa Irvine, L.C.S.W.'s National Provider Identifier is 1467768705, issued on Aug 24, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Missoula, MT. The record was last updated on Jul 21, 2022.