Individual provider Active NPI

Danielle McQuillar, LCSW

  • Clinical Social Worker
  • New Britain, CT
National Provider Identifier
1629392907
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007184 Issued in CT
Practice address
92 Vine St
New Britain, CT 06052-1433
Phone
(860) 223-9291
Fax
(860) 223-3111
NPI assigned
Mar 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 007184 CT Primary

Addresses

Primary practice location

92 Vine St
New Britain, CT 06052-1433

Mailing address

35 Russell St
New Britain, CT 06052-1312
Phone (860) 229-8887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20160613000122 CT Practitioner - Clinical Social Worker 0941590475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of ConnecticutGroup PAC ID 8022915677, 267 clinicians

Practice addresses (Care Compare)

1000 Silver St
Middletown, CT 06457-3940
Phone (860) 262-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007184CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Counseling LLC CurrentSince Sep 17, 2023 Accepting new patients

Locations

50 Founders Plz
Ste 202
East Hartford, CT 06108
Phone (860) 518-0748

Organizations & group practices 2

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": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1629392907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 RUSSELL ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521312",
            "telephone_number": "860-229-8887",
            "fax_number": "860-229-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 VINE ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521433",
            "telephone_number": "860-223-9291",
            "fax_number": "860-223-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUILLAR",
        "first_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.