Active NPI
Quenton Cardell Anderson
- Social Worker
- Oak Lawn, IL
National Provider Identifier
1376250506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.108327
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 150.108327 | IL | MD | Social 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.