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

Mr. Jeremy Wayne Irvin, LCSW, MED

Individual provider Clinical Social Worker · NPI 1245684927

Mr. Jeremy Wayne Irvin, LCSW, MED is a Clinical Social Worker in Boise, Idaho. Qualified in 2013, 13 years ago. Accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
13
Licensed in
ID
In the registry since
2016
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

6003 W Overland Rd Ste 105
Boise, ID 83709-3075
Phone: (208) 417-8428
Fax: (208) 216-1434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-36060 (ID)

Record details

NPI number1245684927
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , MED
Sole proprietorNo
NPI enumeratedApril 19, 2016
Last updated in NPPESDecember 10, 2021
Certification dateDecember 10, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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