Individual provider Active NPI

Molly Quinn, LCSW

  • Clinical Social Worker
  • Murphysboro, IL
National Provider Identifier
1588226203
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149025184 Issued in IL
Practice address
7 S Hospital Dr
Murphysboro, IL 62966-3333
Phone
(618) 519-9200
Fax
(618) 684-2748
NPI assigned
Jul 2, 2019
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149025184 IL Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

7 S Hospital Dr
Murphysboro, IL 62966-3333

Mailing address

109 California St, PO Box 577
Carterville, IL 62918-0577
Phone (618) 519-9200

Other practice location 1

101 Oliver St
Vienna, IL 62995-1660
Phone (618) 658-2611

Other names 1

  • Molly McNeill Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20230123000979 IL Practitioner - Clinical Social Worker 7012388408

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 942-2171

7 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 687-3418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Health Service and Development Corp Clinical CurrentSince Feb 21, 2023 Accepting new patients
Shawnee Health Service and Development Corp CurrentSince Feb 21, 2023 Accepting new patients
Shawnee Health Service and Development Corp Mental Health Past Accepting new patients
Arrowleaf PastSince Jul 1, 2018 Accepting new patients
Arrowleaf Mental Health Past Accepting new patients
Shawnee Health Service and Development Corp Mental Health Past Accepting new patients

Locations

1006 S Division St
Carterville, IL 62918
Phone (618) 985-4841

7 S Hospital Dr
Murphysboro, IL 62966
Phone (618) 687-3418

Interoperability endpoints

  • Direct secure messaging: molly.quinn.1@14668.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1588226203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CALIFORNIA ST, PO BOX 577",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629180577",
            "telephone_number": "618-519-9200",
            "fax_number": "186-985-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 S HOSPITAL DR",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629663333",
            "telephone_number": "618-519-9200",
            "fax_number": "618-684-2748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Oliver St",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "IL",
            "postal_code": "629951660",
            "country_code": "US",
            "telephone_number": "618-658-2611",
            "fax_number": "618-658-2501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINN",
        "first_name": "MOLLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149025184",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "MCNEILL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murphysboro, IL

Sources for this page

Verify at the official NPI Registry.