Individual provider Active NPI

Mary Louise Quint, LCSW

  • Clinical Social Worker
  • Great Falls, MT
National Provider Identifier
1265452643
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MT538LCSW Issued in MT
Practice address
600 Central Plaza
Ste 300
Great Falls, MT 59401-3141
Phone
(406) 452-1171
Fax
(406) 452-4412
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MT538LCSW MT Primary

Addresses

Primary practice location

600 Central Plaza
Ste 300
Great Falls, MT 59401-3141

Mailing address

600 Central Plaza
Ste 300
Great Falls, MT 59401-3141
Phone (406) 452-1171

Other identifiers 1

IdentifierTypeStateIssuer
0000502231MedicaidMT

Other names 1

  • Mary L Kiwak Newell Former name

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

LicenseStateTypeSpecialty
MT538LCSWMTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265452643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CENTRAL PLAZA",
            "address_2": "STE 300",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013141",
            "telephone_number": "406-452-1171",
            "fax_number": "406-452-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CENTRAL PLAZA",
            "address_2": "STE 300",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013141",
            "telephone_number": "406-452-1171",
            "fax_number": "406-452-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINT",
        "first_name": "MARY",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "MT538LCSW",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000502231",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "KIWAK NEWELL",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Great Falls, MT

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.

Verify at the official NPI Registry.