Active NPI
Molly Quinn, LCSW
- Clinical Social Worker
- Murphysboro, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149025184
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawnee Health Service and Development Corp | Clinical | Current | Accepting new patients |
| Shawnee Health Service and Development Corp | Current | Accepting new patients | |
| Shawnee Health Service and Development Corp | Mental Health | Past | Accepting new patients |
| Arrowleaf | Past | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Carterville, IL
- NPI 1639295314
Clinical
-
dba Shawnee Health Pharmacy Carbondale
- Community/Retail Pharmacy
- Carbondale, IL
- NPI 1760253447
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Golconda, IL
- NPI 1538114608
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Vienna, IL
- NPI 1598912263
-
dba Shawnee Health Care, Murphysboro
- Federally Qualified Health Center (FQHC)
- Murphysboro, IL
- NPI 1245260645
Mental Health
-
dba Shawnee Health Care, Carterville
- Federally Qualified Health Center (FQHC)
- Carterville, IL
- NPI 1811928732
Mental Health
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.