MRS. BONNIE M. MCIRVIN (LCSW) – Clinical Social Worker, NPI 1487938957
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,405 CLINICAL SOCIAL WORKER in OR
Provider Addresses for MRS. BONNIE M. MCIRVIN (LCSW)
2111 LORANE HWY
EUGENE, OR 974051773
Phone: (541) 741-7107
Fax: (541) 687-9279
Type: Mailing
2149 CENTENNIAL PLZ
EUGENE, OR 974012456
Phone: (541) 741-7107
Fax: (541) 687-9279
Type: Location
3741 S. BRIGHTON LANE
GILBERT, AZ 852977636
Phone: (541) 954-9174
Fax: (458) 210-2788
Type: Mailing
7096 E. SAN CRISTOBAL WAY
GOLD CANYON, AZ 851181838
Phone: (458) 205-8943
Fax: (458) 210-2788
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: 2022-11-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20170317001649 | I | Clinical Social Worker | OR | TBD |
| I20221117002297 | I | Clinical Social Worker | AZ | 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 97405)
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