Oltar Miguel Quintanilla, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904018376 Issued in VA

Practice address

2819 N Parham Rd Ste 130
Richmond, VA 23294-4425

Phone

(804) 924-7600

NPI assigned

May 8, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1205626736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 BEEKMAN LN APT 2132",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232282256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 N PARHAM RD STE 130",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944425",
            "telephone_number": "804-924-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANILLA",
        "first_name": "OLTAR",
        "middle_name": "MIGUEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904018376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista J Quinby, DPT
• Marith Quinlan, LPC
• Bridget A. Quinn, MD, PHD
• Daniel Quinn
• Ricardo Quintanilla-Staley, PHARMD
• Gerald Lee Quirk Jr., MD, PHD
• Lindsay Nordstrom Quirk, CRNA
• Isaac Emanuel Quiroa
• Ghulam Dastigir Qureshi, M.D.
• Marrium Qureshi, PHARMD

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.