Kyonna Charissa Irby, LMSW is a
Social Worker based in Wylie, Texas. Kyonna Charissa Irby is licensed to practice in Texas (license number 40687) and her current practice location is
108 S Jackson Ave, Ste 207, Wylie, Texas. She can be reached at her office (for appointments etc.) via phone at
(972) 442-5300.
NPI number for Kyonna Charissa Irby is 1649549205 and her current mailing address is 312 Bellmeade Dr, Garland, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649549205.
Healthcare Provider's Profile
| Full Name | Kyonna Charissa Irby |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 108 S Jackson Ave, Wylie, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1649549205
- Provider Enumeration Date: 12/27/2011
- Last Update Date: 12/27/2011
Medical Identifiers
Medical identifiers for Kyonna Charissa Irby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649549205 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 40687 (Texas) | Secondary |
| 104100000X | Social Worker | 40687 (Texas) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
| 253J00000X | Foster Care Agency | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyonna Charissa Irby is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kyonna Charissa Irby, LMSW
312 Bellmeade Dr,
Garland, TX 75040-3505
Ph: (972) 217-0519 | Kyonna Charissa Irby, LMSW
108 S Jackson Ave, Ste 207,
Wylie, TX 75098-3938
Ph: (972) 442-5300 |
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