Active NPI
Frank Quinones, LCSW
- Clinical Social Worker
- Dearborn, MI
National Provider Identifier
1114268562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 60463
- Practice address
- 15350 N Commerce Dr
Suite 204
Dearborn, MI 48120 - Phone
- (313) 203-2077
- Fax
- (313) 406-6433
- NPI assigned
- Mar 11, 2013
- 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 | 60463 | TX | Primary |
Addresses
Primary practice location
15350 N Commerce Dr
Suite 204
Dearborn, MI 48120
Mailing address
P.O. Box 38024
Leon Valley, TX 78268
Phone (210) 563-4520
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 |
|---|---|---|---|
| 60463 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeline RGV LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ambulance
- McAllen, TX
- NPI 1366779035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620259200000",
"number": "1114268562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 38024",
"city": "LEON VALLEY",
"state": "TX",
"postal_code": "78268",
"telephone_number": "210-563-4520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15350 N COMMERCE DR",
"address_2": "SUITE 204",
"city": "DEARBORN",
"state": "MI",
"postal_code": "48120",
"telephone_number": "313-203-2077",
"fax_number": "313-406-6433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINONES",
"first_name": "FRANK",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-11",
"last_updated": "2021-05-06",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "60463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.