Carissa Quigley, MSW, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LW61475209 Issued in WA

Practice address

3375 Moonlight LN SW Unit 103
Olympia, WA 98512-8938

Phone

(715) 505-7031

NPI assigned

Jan 17, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1285495275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 MOONLIGHT LN SW UNIT 103",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985128938",
            "telephone_number": "715-505-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 MOONLIGHT LN SW UNIT 103",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985128938",
            "telephone_number": "715-505-7031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3857 Martin Way E",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985065268",
            "country_code": "US",
            "telephone_number": "360-704-7170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUIGLEY",
        "first_name": "CARISSA",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "27182",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW61475209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ranee Naa Bigi Quaye, MD
• Sarah Quenemoen
• Megan N Quentin, CPHT, B. SC.
• Quest Diagnostics Clinical Laboratories Inc
• Quest Diagnostics Clinical Laboratories Inc
• Stephanie Suzan Quimby, LMP
• Shayeleen Quinata
• Pamela D Quinn, DPT
• Ronald R Quinton, M.D.
• Tracy Quintus

• Social Worker in Olympia, WA
• Providers in Olympia, WA by specialty
• Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.