Nelia M Quezada

Primary specialty

Social WorkerTaxonomy code 104100000X

License

113184 Issued in NY

Practice address

1475 Western Ave Ste 51 Unit 3861
Albany, NY 12203-5419

Phone

(646) 752-7480

NPI assigned

Feb 19, 2022

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 25, 2022.

{
    "created_epoch": "1645228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1154076925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 WESTERN AVE STE 51 UNIT 3861",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 WESTERN AVE STE 51 UNIT 3861",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035419",
            "telephone_number": "646-752-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEZADA",
        "first_name": "NELIA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-19",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "113184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Anthony Qualtere, M.D.
• Mary E. Qualters, LCSW
• Christopher John Querrard
• Doannghi Querrard, DO
• Quest Diagnostics Incorporated
• Cavanaugh Quick, LCSW
• Quickmd Medical Group PA
• John F Quigley, CASAC-2
• Molly Quigley, LMSW
• Patrick Quigley, DO

• All providers in Albany, NY
• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.