Individual provider Active NPI

Jane Ann Quinlisk, MS, LCSW

  • Clinical Social Worker
  • La Crosse, WI
National Provider Identifier
1639470016
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3638123 Issued in WI
Practice address
115 5TH Ave S
Suite 301
La Crosse, WI 54601-9200
Phone
(608) 785-0827
NPI assigned
Nov 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 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 3638123 WI Primary

Addresses

Primary practice location

115 5TH Ave S
Suite 301
La Crosse, WI 54601-9200

Mailing address

521 23Rd St S
La Crosse, WI 54601-5123
Phone (608) 785-0005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3638123WIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1639470016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 23RD ST S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015123",
            "telephone_number": "608-785-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 5TH AVE S",
            "address_2": "SUITE 301",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546019200",
            "telephone_number": "608-785-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINLISK",
        "first_name": "JANE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MS, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "3638123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.