Jesse Quirino, ASW 95079

Primary specialty

Social WorkerTaxonomy code 104100000X

License

95079 Issued in CA

Practice address

790 E Santa Clara St Ste 101a
Ventura, CA 93001-2965

Phone

(805) 832-2346

NPI assigned

Jun 12, 2018

Sex

Male

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.

• Ca Family Therapy Inc

  • Community/Behavioral Health Agency
  • Ventura, CA
  • NPI 1497404362

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1174016356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 E SANTA CLARA ST STE 101A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930012965",
            "telephone_number": "805-981-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 E SANTA CLARA ST STE 101A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930012965",
            "telephone_number": "805-832-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIRINO",
        "first_name": "JESSE",
        "credential": "ASW 95079",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-12",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "133764",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "95079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Elise Quinn
• Brandi Quinn, CCDC
• Alba Quintanilla
• Briana Lenette Quintero
• Abraham Quinteros, LVN
• Jacqueline Quitadamo
• Diane Marie Quitoriano, R.N., P.H.N.
• R and J Prosthetic Appliance Co.
• R and J Prosthetic Appliance Co. Inc.
• R F Ccollins & S Goodman PTRS

• All providers in Ventura, CA
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.