Individual provider Active NPI

Acacia Quaintance, LISW-S

  • Social Worker
  • Columbus, OH
National Provider Identifier
1578030979
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I.1801256 Issued in OH
Practice address
1069 W Broad St Ste 1008
Columbus, OH 43222-1440
Phone
(614) 681-1460
Fax
(614) 639-8228
NPI assigned
Oct 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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 I.1801256 OH Primary

Addresses

Primary practice location

1069 W Broad St Ste 1008
Columbus, OH 43222-1440

Mailing address

5587 Readers St
Canal Winchester, OH 43110-8328

Other practice location 1

4937 W Broad St Ste 205
Columbus, OH 43228-1646
Phone (614) 681-1460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190506002388 OH Practitioner - Clinical Social Worker 0547502858 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Columbus, OH 43215
Phone (614) 697-1454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1801256OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA CurrentSince May 16, 2025 Accepting new patients
Free Spirit Counseling LLC Social Worker CurrentSince Mar 13, 2025 Accepting new patients
Holistic Consultation LLC PastSince May 1, 2016 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1069 W Broad St
Ste 1008
Columbus, OH 43222
Phone (614) 681-1460

4937 W Broad St
Ste 205
Columbus, OH 43228
Phone (614) 681-1460

470 W Broad St
Columbus, OH 43215
Phone (614) 697-1454

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1578030979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5587 READERS ST",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431108328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 W BROAD ST STE 1008",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221440",
            "telephone_number": "614-681-1460",
            "fax_number": "614-639-8228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4937 W Broad St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432281646",
            "country_code": "US",
            "telephone_number": "614-681-1460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUAINTANCE",
        "first_name": "ACACIA",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.1801256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.