Tracy Leeper Irwin | Louisville, KY • PECOS Search

Tracy Leeper Irwin

Social Worker

Behavioral Health & Social Service Providers

247 Saunders Ave, Louisville, KY 40206-2850

PECOS Enrollment

Based on the most recent information from CMS, provider Tracy Leeper Irwin does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1356765978
Provider Type
Individual
Full Name
Irwin, Tracy Leeper
Title
Mrs.
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/18/2014
Last Updated
2/18/2014

Contact Information

Practice Location

247 Saunders Ave, Louisville, KY 40206-2850

(502) 899-5105

Mailing Location

247 Saunders Ave, Louisville, KY 40206-2850

(502) 899-5105

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License KY-710 Kentucky