Active NPI
Quinn Morgan Maroney-Hernandez, MSW, LICSW
- Clinical Social Worker
- Saint Paul, MN
National Provider Identifier
1073153458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 27613
- Practice address
- 2550 University Ave W Ste 435S
Saint Paul, MN 55114-1907 - Phone
- (651) 647-1900
- Fax
- (651) 647-1861
- NPI assigned
- Jan 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 27613 | MN | Primary |
Addresses
Primary practice location
2550 University Ave W Ste 435S
Saint Paul, MN 55114-1907
Mailing address
5544 27TH Ave S
Minneapolis, MN 55417-1934
Phone (406) 249-4675
Other practice location 1
345 E 38th St
Minneapolis, MN 55409-1363
Phone (612) 243-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27613 | MN | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathway Virtu-Health | Past | Accepting new patients | |
| Kente Circle | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Child Mental Illness Respite Care
- Minneapolis, MN
- NPI 1275683492
-
- Family Nurse Practitioner
- Shoreview, MN
- NPI 1073134284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1073153458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5544 27TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554171934",
"telephone_number": "406-249-4675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 UNIVERSITY AVE W STE 435S",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141907",
"telephone_number": "651-647-1900",
"fax_number": "651-647-1861"
}
],
"practiceLocations": [
{
"address_1": "345 E 38th St",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554091363",
"country_code": "US",
"telephone_number": "612-243-1600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARONEY-HERNANDEZ",
"first_name": "QUINN",
"middle_name": "MORGAN",
"name_prefix": "Mrs.",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-13",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "27613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.