Quadasha D McIlwaine, MSW, LCSW, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C013792 Issued in NC

Practice address

648 S Jones Ave Ste B
Rock Hill, SC 29730-5841

Phone

(704) 909-1000

NPI assigned

May 12, 2021

Last updated

Mar 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Licensed 2 Heal Counseling Center, LLC

  • Clinical Social Worker
  • Rock Hill, SC
  • NPI 1851091896
  NPD Authorized official

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1447824677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 PIMILICO TRACE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282167803",
            "telephone_number": "704-909-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 S JONES AVE STE B",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297305841",
            "telephone_number": "704-909-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "648 S Jones Ave",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297305841",
            "country_code": "US",
            "telephone_number": "803-620-3389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCILWAINE",
        "first_name": "QUADASHA",
        "middle_name": "D",
        "credential": "MSW, LCSW, LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel McGee III
• Carmen Woschkolup McGinnis, FNP
• Tonya McGriff
• Kristine McGruder, M.D.
• Heather Nicole McHenry, P.A.
• Quinndolyn McInnis, DPT
• Austin Lee Roach McJunkins, M.D.
• Karen McKay
• Edward McKinney, M.D.
• Janice McKiver

• Clinical Social Worker in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.