Alexa Quintero, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

4411 Washington Ave
Ste. 200
Evansville, IN 47714-0805

Phone

(812) 479-1916

Fax

(812) 479-5014

NPI assigned

May 2, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innerspace Center for Emotional Health LLCGroup PAC ID 8820325681, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Innerspace Center for Emotional Health LLC

  dba Innerspace Center for Emotional Health

  • Mental Health Counselor
  • Evansville, IN
  • NPI 1891356119
  Medicare reassignment Care Compare group NPD
• Luzio & Associates Behavioral Services, Inc.

  • Clinical Social Worker
  • Evansville, IN
  • NPI 1255436754
  NPD (past)

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1639605314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 WASHINGTON AVE",
            "address_2": "STE. 200",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140805",
            "telephone_number": "812-479-1916",
            "fax_number": "812-479-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 WASHINGTON AVE",
            "address_2": "STE. 200",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140805",
            "telephone_number": "812-479-1916",
            "fax_number": "812-479-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTERO",
        "first_name": "ALEXA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200238820",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pearl Quartey-Kumapley, M.D.
• Lauren Quinn
• Lawrence Roger Quinn, R.N. , C.C.P.
• Matthew Eric Quinn, M.S., P.T.
• Sheri A Quinn, PT
• Hannah Quirey, MSW
• R Bacon Enterprises Inc (Freedom Medical)
• R Bacon Enterprises Inc (Freedom Medical)
• Kayla N/a Rademacher, OTR/L
• Michele A Rahe

• Social Worker in Evansville, IN
• Providers in Evansville, IN by specialty
• Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.

Verify at the official NPI Registry.