William R Quirk, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4957 Issued in SC

Practice address

401 Western LN
Suite a
Irmo, SC 29063-7953

Phone

(803) 397-7521

Fax

(803) 667-4963

NPI assigned

Sep 5, 2005

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)

Enrolled

State licenses

Practice roles

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.

• Comprehensive Counseling

  • Community/Behavioral Health Agency
  • Irmo, SC
  • NPI 1720248792
  NPD (past) Authorized official
• University Specialty Clinics - Neuropsychiatry and Behavioral Science

  • Psychiatry Physician
  • Columbia, SC
  • NPI 1821020116
  NPD (past)

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

{
    "created_epoch": "1125878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217548800000",
    "number": "1104810233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3086",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290634011",
            "telephone_number": "803-397-7521",
            "fax_number": "803-667-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WESTERN LN",
            "address_2": "SUITE A",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290637953",
            "telephone_number": "803-397-7521",
            "fax_number": "803-667-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIRK",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-05",
        "last_updated": "2008-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "4957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Debra Ray
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• Clinical Social Worker in Irmo, SC
• Providers in Irmo, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.