Individual provider Active NPI

Jillian Przybysz-Quick, LCSW

  • Clinical Social Worker
  • Plainwell, MI
National Provider Identifier
1306469259
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801106056 Issued in MI
Practice address
11815 Lewis Rd
Plainwell, MI 49080-9223
Phone
(616) 304-4395
NPI assigned
May 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801106056 MI
School Social Worker 1041S0200X 6801106056 MI
Clinical Social Worker 1041C0700X 6801106056 MI Primary

Addresses

Primary practice location

11815 Lewis Rd
Plainwell, MI 49080-9223

Mailing address

11815 Lewis Rd
Plainwell, MI 49080-9223
Phone (616) 304-4395

Other identifiers 1

IdentifierTypeStateIssuer
6801106056OtherMILMSW LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL betterhelp.com Other

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801106056MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1306469259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11815 LEWIS RD",
            "city": "PLAINWELL",
            "state": "MI",
            "postal_code": "490809223",
            "telephone_number": "616-304-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11815 LEWIS RD",
            "city": "PLAINWELL",
            "state": "MI",
            "postal_code": "490809223",
            "telephone_number": "616-304-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRZYBYSZ-QUICK",
        "first_name": "JILLIAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2023-11-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801106056",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MI",
            "license": "6801106056",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW LICENSE",
            "identifier": "6801106056",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "betterhelp.com",
            "affiliation": "Y",
            "endpointDescription": "BetterHelp",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Counseling",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Counseling",
            "address_1": "11815 Lewis Rd",
            "city": "Plainwell",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490809223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plainwell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.