Individual provider Active NPI

Brett Edward Quantrille, LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1104986272
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4414 Issued in LA
Practice address
14635 S Harrells Ferry Rd
Suite 6 C
Baton Rouge, LA 70816-2959
Phone
(225) 755-5715
Fax
(225) 218-4177
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4414 LA Primary

Addresses

Primary practice location

14635 S Harrells Ferry Rd
Suite 6 C
Baton Rouge, LA 70816-2959

Mailing address

16614 Appomattox Ave
Baton Rouge, LA 70817-3713
Phone (225) 755-5715

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

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1104986272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16614 APPOMATTOX AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708173713",
            "telephone_number": "225-755-5715",
            "fax_number": "225-218-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14635 S HARRELLS FERRY RD",
            "address_2": "SUITE 6 C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162959",
            "telephone_number": "225-755-5715",
            "fax_number": "225-218-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUANTRILLE",
        "first_name": "BRETT",
        "middle_name": "EDWARD",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.