Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ivy Vanessa Irvine, LCSW

Individual provider Clinical Social Worker · NPI 1467768705

Ivy Vanessa Irvine, LCSW is a Clinical Social Worker in Missoula, Montana. Qualified in 2007, 19 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
19
Licensed in
MT
In the registry since
2010
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2112 Dixon Ave
Missoula, MT 59801-8226
Phone: (406) 546-0082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 924 (MT)

Record details

NPI number1467768705
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 24, 2010
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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