Active NPI
Brett Edward Quantrille, LCSW
- Clinical Social Worker
- Baton Rouge, LA
National Provider Identifier
1104986272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4414
- 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
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 | 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.