Demetria Quinn, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P018895 Issued in NC

Practice address

1216 Mann Dr
Matthews, NC 28105-5512

Phone

(980) 262-3043

Fax

(980) 339-5617

NPI assigned

Jan 4, 2021

Last updated

May 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Association for Individual Development

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aurora, IL
  • NPI 1053563007
  NPD (past)
• Association for Individual Development

  dba AID - Administration

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aurora, IL
  • NPI 1821151119
  NPD (past)

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1114515376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 MANN DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055512",
            "telephone_number": "980-262-3043",
            "fax_number": "980-339-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 MANN DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055512",
            "telephone_number": "980-262-3043",
            "fax_number": "980-339-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "DEMETRIA",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P018895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• QC House of Hope
• Katherine Quackenbush
• Jacqueline Quartuccio, LCSW
• Queen City Eye Center, O.D., PLLC
• Michael Quermback, PHARM. D
• R3 Counseling & Coaching Services, PLLC
• Kylie Paige Rabe, D.C.
• Radiation Oncology Centers of the Carolinas, Inc. (Matthews Radiation Oncology Center)
• Ana Carter Rainey, CNM
• Raise One LLC

• Clinical Social Worker in Matthews, NC
• Providers in Matthews, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.