Individual provider Active NPI

Quenton Cardell Anderson

  • Social Worker
  • Oak Lawn, IL
National Provider Identifier
1376250506
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.108327 Issued in IL
Practice address
569 West 95TH Street
Oak Lawn, IL 60453-6045
Phone
(708) 529-0278
NPI assigned
Oct 27, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.108327 IL Primary

Addresses

Primary practice location

569 West 95TH Street
Oak Lawn, IL 60453-6045

Mailing address

9730 S Western Ave Ste 203
Evergreen Park, IL 60805-2854
Phone (708) 572-3683

Other practice location 1

1820 Ridge Rd Ste 303B
Homewood, IL 60430-1759
Phone (708) 572-3683

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
150.108327ILMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1376250506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 S WESTERN AVE STE 203",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052854",
            "telephone_number": "708-572-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 WEST 95TH STREET",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604536045",
            "telephone_number": "708-529-0278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 Ridge Rd Ste 303B",
            "address_purpose": "LOCATION",
            "city": "Homewood",
            "state": "IL",
            "postal_code": "604301759",
            "country_code": "US",
            "telephone_number": "708-572-3683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "QUENTON",
        "middle_name": "CARDELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-27",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.108327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.