Active NPI
Pam McQuaid LCSW LLC
- Multi-Specialty Clinic/Center
- La Grange, IL
National Provider Identifier
1285460907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Hinsdale, IL
- NPI 1891904504
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.