Organization Active NPI

Pam McQuaid LCSW LLC

  • Multi-Specialty Clinic/Center
  • La Grange, IL
National Provider Identifier
1285460907
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PAM MCQUAID LCSW LLC
Practice address
512 W Burlington Ave Ste 3
La Grange, IL 60525-2225
Phone
(708) 639-1693
NPI assigned
Sep 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Pam McQuaid, LCSW
Title
Owner, LCSW
Phone
(708) 639-1693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

512 W Burlington Ave Ste 3
La Grange, IL 60525-2225

Mailing address

512 W Burlington Ave Ste 3
La Grange, IL 60525-2225
Phone (708) 639-1693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241216001833 IL Part B Supplier - Clinic/Group Practice 6406382357 Receives reassigned benefits from 1 practitioner
Practice locations: La Grange, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1285460907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 W BURLINGTON AVE STE 3",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252225",
            "telephone_number": "708-639-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 W BURLINGTON AVE STE 3",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252225",
            "telephone_number": "708-639-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAM MCQUAID LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "MCQUAID",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "OWNER, LCSW",
        "authorized_official_telephone_number": "708-639-1693",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.