Active NPI
Daniel John Quartley, LCSW R
- Clinical Social Worker
- Williamsville, NY
National Provider Identifier
1245304658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R0410711
- Practice address
- 5500 Main St
Suite 109 RM 8a
Williamsville, NY 14221-6755 - Phone
- (716) 908-1707
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R0410711 | NY | Primary |
Addresses
Primary practice location
5500 Main St
Suite 109 RM 8a
Williamsville, NY 14221-6755
Mailing address
PO Box 157
Getzville, NY 14068-0157
Phone (716) 908-1707
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0410711 | NY | MD | Clinical Social Worker |
| 041071 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245304658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 157",
"city": "GETZVILLE",
"state": "NY",
"postal_code": "140680157",
"telephone_number": "716-908-1707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 MAIN ST",
"address_2": "SUITE 109 RM 8A",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142216755",
"telephone_number": "716-908-1707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUARTLEY",
"first_name": "DANIEL",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "LCSW R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R0410711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.