Colleen Quigley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089487 Issued in NY

Practice address

117 Dobbin St
Brooklyn, NY 11222-5502

Phone

(929) 262-0704

NPI assigned

Jun 11, 2012

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

Other names 1

• Colleen Briedrick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 18, 2025 through Sep 18, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Northwest Institute for Psychotherapy and Sexuality

  • Clinical Social Worker
  • Salem, OR
  • NPI 1962239194
  NPD Authorized official
• Judson Center, Inc.

  • Community/Behavioral Health Agency
  • Royal Oak, MI
  • NPI 1033264890
  NPD (past)

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1144582628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 DOBBIN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112225502",
            "telephone_number": "929-262-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 DOBBIN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112225502",
            "telephone_number": "929-262-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIGLEY",
        "first_name": "COLLEEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "BRIEDRICK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joel Abapo Quidilla, FNP
• Lory Quidilla, NP
• Quiet Dental PC
• Quiet Dental PC
• Quiet Mind Psychology PLLC
• Thomas Vincent Quigley, ATC, CSCS
• Charmaine A. Quijano, P.T.
• Aliyah Marie Quiles, LMSW
• Jane Guillermo Quiling, RN, BSN
• Jerome De Asis Quimson

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.