Organization Active NPI

Miriam Quilan LCSW PLLC

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1639814817
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MIRIAM QUILAN LCSW PLLC
Practice address
120 Casals PL Apt 32K
Bronx, NY 10475-3133
Phone
(929) 288-6842
Fax
(917) 591-4505
NPI assigned
May 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Jessica Ileene Mojica
Title
Office Manager
Phone
(646) 844-0518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

120 Casals PL Apt 32K
Bronx, NY 10475-3133

Mailing address

1850 Lafayette Ave Apt 6E
Bronx, NY 10473-2837
Phone (646) 844-0518

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1639814817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 LAFAYETTE AVE APT 6E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104732837",
            "telephone_number": "646-844-0518",
            "fax_number": "917-591-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CASALS PL APT 32K",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104753133",
            "telephone_number": "929-288-6842",
            "fax_number": "917-591-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRIAM QUILAN LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "MOJICA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ILEENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "646-844-0518"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.