JAMES IRA KIRK CDCA II SWA NPI 1073022752

NPI Information

NPI: 1073022752
Provider Name: JAMES IRA KIRK, CDCA II , SWA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
11100 STATE ROUTE 550
ATHENS, OH
ZIP 45701
Phone: (740) 592-1134
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James Ira Kirk, CDCA II , SWA is an addiction (substance use disorder) counselor in Athens, OH. James Ira Kirk, CDCA II , SWA NPI is 1073022752. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11100 STATE ROUTE 550
ATHENS, OH
ZIP 45701-839
Phone: (740) 592-1134
Fax: (740) 422-1513

The enumeration date for this NPI number is 9/25/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker		W1500061	OHIO	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	141741	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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