Individual provider Active NPI

Maureen Quinn, MSW, LCSW

  • Clinical Social Worker
  • Valparaiso, IN
National Provider Identifier
1144641507
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007751A Issued in IN
Practice address
4203 Onyx Court
Valparaiso, IN 46385-3138
Phone
(219) 246-9163
NPI assigned
Jan 2, 2014
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 33006745A IN
Clinical Social Worker 1041C0700X 34007751A IN Primary

Addresses

Primary practice location

4203 Onyx Court
Valparaiso, IN 46385-3138

Mailing address

4203 Onyx CT
Valparaiso, IN 46385-7301
Phone (219) 246-9163

Other practice location 1

71 Allen St Ste 403
Rutland, VT 05701-4570
Phone (802) 855-5468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191217001868 IN Practitioner - Clinical Social Worker 2365876844 Reassigns benefits to 3 organizations
Practice locations: Valparaiso, IN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33006745AINMDMental Health Counselor
34007751AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Midwest Post Acute Care PLLC Clinical CurrentSince Nov 1, 2024 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Premise Health of Indiana Medical PC CurrentSince Jan 6, 2025 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Vitae Health Medical Indiana LLC Clinical CurrentSince Sep 22, 2022 Accepting new patients
Maureen Quinn Counseling Mental Health CurrentSince Nov 16, 2019 Accepting new patients
Community Health Centers of the Rutland Region Inc Current Accepting new patients
Community Health Centers of the Rutland Region Inc CurrentSince Mar 1, 2024 Accepting new patients
Premise Health of Indiana Medical PC CurrentSince Jan 6, 2025 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Premise Health of Indiana Medical, P.C. Current Accepting new patients
Connecticut General Life Insurance Company Past Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

10352 N 600 E
Demotte, IN 46310
Phone (219) 345-5211

777 Casino Center Dr
Hammond, IN 46320
Phone (219) 473-6100

4410 W 49th Ave
Hobart, IN 46342
Phone (219) 942-3279

8900 Broadway
Merrillville, IN 46410
Phone (219) 252-2173

8 Morgan Blvd
Valparaiso, IN 46383
Phone (219) 464-9495

275 VT 30 N
Bomoseen, VT 05732
Phone (802) 468-5641

420 Grove St
Brandon, VT 05733
Phone (802) 247-6305

1 General Wing Rd
Rutland, VT 05701
Phone (802) 773-9131

231 N Main St
Rutland, VT 05701
Phone (800) 468-9118

71 Allen St
Ste 402
Rutland, VT 05701
Phone (800) 468-9118

71 Allen St
Ste 403
Rutland, VT 05701
Phone (802) 772-4414

2987 Vt Route 22A
Shoreham, VT 05770
Phone (802) 897-7000

278 Vt Route 149
West Pawlet, VT 05775
Phone (800) 468-9118

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1144641507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 ONYX CT",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463857301",
            "telephone_number": "219-246-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 ONYX COURT",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463853138",
            "telephone_number": "219-246-9163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "71 Allen St Ste 403",
            "address_purpose": "LOCATION",
            "city": "Rutland",
            "state": "VT",
            "postal_code": "057014570",
            "country_code": "US",
            "telephone_number": "802-855-5468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINN",
        "first_name": "MAUREEN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-02",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "33006745A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007751A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.