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Contact Information

THOMAS L IRWIN JR, MSW, LCSW
12 PEACH TREE COURT
SAINT LOUIS, MO63126
 Phone: 314-359-1027
 Fax: 314-729-1142
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for THOMAS L IRWIN JR · (Male)

NPI Number 1538353230
Status Active
Credentials MSW, LCSW
Entity Individual
Enumeration date 09/05/2007
Last updated 10/26/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # SW000194
  • MO Medicaid 493427967
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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