Ronald Quick

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149008248 Issued in IL

Practice address

3644 Horn Ave
Alton, IL 62002-3100

Phone

(314) 252-8159

NPI assigned

Jul 6, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625961600000",
    "number": "1043881501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 ALBERS LN",
            "city": "BETHALTO",
            "state": "IL",
            "postal_code": "620101120",
            "telephone_number": "618-401-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3644 HORN AVE",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620023100",
            "telephone_number": "314-252-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUICK",
        "first_name": "RONALD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-11",
        "certification_date": "2021-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149008248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Pullam
• Brandy Purcell, BSN
• Benjamin Pursley
• Tariq L Quadri, MD
• Constance Qugley, BS
• Bethany Raccio, BA
• Meagan R Radcliff, MA
• Radiologic Physicians LTD
• Annette Raftery, RPH
• Ajitesh Rai, M.D.

• Clinical Social Worker in Alton, IL
• Providers in Alton, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.