Active NPI
Gerald Vincent Quinnan III, LMSW
- Social Worker
- Ballston Spa, NY
National Provider Identifier
1467322511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 128114
- Practice address
- 20 Prospect St Ste 2
Ballston Spa, NY 12020-1367 - Phone
- (518) 810-6466
- NPI assigned
- Nov 5, 2025
- 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 | 128114 | NY | Primary |
Addresses
Primary practice location
20 Prospect St Ste 2
Ballston Spa, NY 12020-1367
Mailing address
30 Lake Ave Apt 319
Saratoga Springs, NY 12866-2598
Phone (301) 801-3448
Other names 1
- Mr. Vincent Quinnan
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 |
|---|---|---|---|
| 128114 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1467322511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 LAKE AVE APT 319",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128662598",
"telephone_number": "301-801-3448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 PROSPECT ST STE 2",
"city": "BALLSTON SPA",
"state": "NY",
"postal_code": "120201367",
"telephone_number": "518-810-6466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINNAN",
"first_name": "GERALD",
"middle_name": "VINCENT",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-05",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "128114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VINCENT",
"last_name": "QUINNAN",
"prefix": "MR.",
"credential": "LMSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Ballston Spa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.