Jacqueline Quartuccio, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C015219 Issued in NC

Practice address

3013 Senna Dr Ste a
Matthews, NC 28105-6727

Phone

(980) 533-5649

NPI assigned

May 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Bethany Christian Services of NC

  • Multi-Specialty Clinic/Center
  • Charlotte, NC
  • NPI 1982279477
  NPD (past)

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1154944304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 SENNA DR STE A",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 SENNA DR STE A",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056727",
            "telephone_number": "980-533-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUARTUCCIO",
        "first_name": "JACQUELINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P013974",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pustaver Chiropractic Care PA
• Mark R Pustaver, D.C.
• Q.M. Chen, D.M.D., PH.D, P.a.
• QC House of Hope
• Katherine Quackenbush
• Queen City Eye Center, O.D., PLLC
• Michael Quermback, PHARM. D
• Demetria Quinn, LCSWA
• R3 Counseling & Coaching Services, PLLC
• Kylie Paige Rabe, D.C.

• All providers in Matthews, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.