Active NPI
Jody Lynn McQuitty, LCSW
- Clinical Social Worker
- Noblesville, IN
National Provider Identifier
1215064647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34005059A
- Practice address
- 19277 Fox Chase Dr
Noblesville, IN 46062-6619 - Phone
- (317) 431-1352
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 34005059A | IN | |
| Clinical Social Worker | 1041C0700X | 34005059A | IN | Primary |
Addresses
Primary practice location
19277 Fox Chase Dr
Noblesville, IN 46062-6619
Mailing address
19277 Fox Chase Dr
Noblesville, IN 46062-6619
Phone (317) 431-1352
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100270530 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459814400000",
"number": "1215064647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19277 FOX CHASE DR",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460626619",
"telephone_number": "317-431-1352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19277 FOX CHASE DR",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460626619",
"telephone_number": "317-431-1352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCQUITTY",
"first_name": "JODY",
"middle_name": "LYNN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2016-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "IN",
"license": "34005059A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34005059A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100270530",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Noblesville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.