Individual provider Active NPI

Kevin Casey McQuiston, LCSW-C

  • Clinical Social Worker
  • Easton, MD
National Provider Identifier
1649358516
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13350 Issued in MD
Practice address
29516 Canvasback Dr
Easton, MD 21601-7140
Phone
(410) 822-5007
Fax
(410) 822-5569
NPI assigned
Nov 1, 2006
Last updated
Nov 6, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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 13350 MD Primary

Addresses

Primary practice location

29516 Canvasback Dr
Easton, MD 21601-7140

Mailing address

2336 Goddard Parkway
Salisbury, MD 21801
Phone (410) 334-6961

Other identifiers 10

IdentifierTypeStateIssuer
522156095OtherMDMHN-MANAGED HEATLH NET
517251OtherUHC MAMSI GROUP
522156095OtherMDMHNET BEHAVORIAL HEALTH
259147000OtherMDMAGELLAN GROUP
522156095OtherMDTRI-CARE
LM49EAOtherMDCAREFIRST BCBS
R968OtherDCCAREFIRST FEDERAL GROUP
100119301OtherMDAPS-ST OF MD
609550002MedicaidMD
858006OtherMDUNICARE/NCPPO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20081110000373 MD Practitioner - Clinical Social Worker 2466520622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

120 Banjo LN
Centreville, MD 21617-1002
Phone (410) 758-2211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Corsica River Mental Health Service, Inc. CurrentSince Aug 3, 2010 Accepting new patients
Corsica River Mental Health Services, Inc. Current Accepting new patients
Eastern Shore Psychological Services, LLC Past Accepting new patients
Eastern Shore Psychological Services, LLC Past Accepting new patients
Eastern Shore Psychological Service Past Accepting new patients
Eastern Shore Psychological Services, LLC Past Accepting new patients
Eastern Shore Psychological Service, LLC Past Accepting new patients
Eastern Shore Psychological Services, LLC Past Accepting new patients

Locations

403 High St
Cambridge, MD 21613
Phone (443) 225-5780

120 Banjo Ln
Centreville, MD 21617
Phone (410) 758-2211

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1649358516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 GODDARD PARKWAY",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21801",
            "telephone_number": "410-334-6961",
            "fax_number": "410-334-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29516 CANVASBACK DR",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017140",
            "telephone_number": "410-822-5007",
            "fax_number": "410-822-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUISTON",
        "first_name": "KEVIN",
        "middle_name": "CASEY",
        "name_prefix": "Mr.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN-MANAGED HEATLH NET",
            "identifier": "522156095",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC MAMSI GROUP",
            "identifier": "517251",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHNET BEHAVORIAL HEALTH",
            "identifier": "522156095",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN GROUP",
            "identifier": "259147000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI-CARE",
            "identifier": "522156095",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "LM49EA",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST FEDERAL GROUP",
            "identifier": "R968",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS-ST OF MD",
            "identifier": "100119301",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609550002",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE/NCPPO",
            "identifier": "858006",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.