Amanda L Quine, LCSW

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

LCSW-2774 Issued in AZ

Practice address

4650 W Sweetwater Ave
Glendale, AZ 85304-1505

Phone

(602) 347-2600

Fax

(602) 347-2709

NPI assigned

Mar 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1508997891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26716 N 20TH LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850851716",
            "telephone_number": "602-885-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 W SWEETWATER AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041505",
            "telephone_number": "602-347-2600",
            "fax_number": "602-347-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINE",
        "first_name": "AMANDA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "AZ",
            "license": "SW2774I",
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "AZ",
            "license": "LCSW-2774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "861791",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quayle Interventional Services
• Quayle Interventional Services LLC
• Quick Med Center LLC
• Quick Med Center LLC
• Quick Med Center LLC
• Eduardo Quinones, MD
• Marlyn Natalie Quinonez
• Belinda M. Quintana, MC
• Norma Euyenia Quintero
• Nicole Quinteros, PA-C

• Local Education Agency (LEA) in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Local Education Agency (LEA) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.