Active NPI
Pamela Jean Quaintance, LCSW
- Clinical Social Worker
- Murfreesboro, TN
National Provider Identifier
1336150671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5066
- Practice address
- 320 E. Main Street
Suite 200
Murfreesboro, TN 37130-3836 - Phone
- (615) 542-3599
- NPI assigned
- Aug 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5066 | TN | Primary |
Addresses
Primary practice location
320 E. Main Street
Suite 200
Murfreesboro, TN 37130-3836
Mailing address
3422 Meadowhill Dr
Murfreesboro, TN 37130-6618
Phone (615) 542-3599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3730393 | Medicaid | TN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6560 | TN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587513600000",
"number": "1336150671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3422 MEADOWHILL DR",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371306618",
"telephone_number": "615-542-3599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 E. MAIN STREET",
"address_2": "SUITE 200",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371303836",
"telephone_number": "615-542-3599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUAINTANCE",
"first_name": "PAMELA",
"middle_name": "JEAN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "5066",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3730393",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.