EDWARD NOEL IRIZARRY (LMSW) – Clinical Social Worker, NPI 1780814400
Clinical Social Worker
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,821 CLINICAL SOCIAL WORKER in MI
Provider Addresses for EDWARD NOEL IRIZARRY (LMSW)
114, Orchard Lake Road, Pontiac, Oakland County, Michigan, 48341, United States
PONTIAC, MI 483412244
Phone: (248) 858-7766
Fax: (248) 858-8227
Type: Mailing
1040 W BRISTOL RD
FLINT, MI 485075516
Phone: (810) 569-5075
Type: Mailing
9171 LAPEER RD
DAVISON, MI 484233617
Phone: (810) 569-5075
Type: Location
1085 S Linden Rd Ste 150
Flint, MI 485323430
Phone: (810) 262-2100
Fax: (810) 230-3376
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-08-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090807000599 | I | Clinical Social Worker | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48341)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Physician Assistant | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Physician Assistant | MI | |
| Physician Assistant | OH | |
| Physician Assistant | MI | |
| P S Y C H I A T R Y | MI |
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