Individual provider Active NPI

Macie Quarles, MSW, LCSW-C

  • Clinical Social Worker
  • Dover, DE
National Provider Identifier
1649895368
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21065 Issued in MD
Practice address
1151 Walker Rd PMB# 134
Dover, DE 19904-7601
Phone
(240) 712-4199
NPI assigned
Jun 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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 21065 MD Primary

Addresses

Primary practice location

1151 Walker Rd PMB# 134
Dover, DE 19904-7601

Mailing address

1151 Walker Rd PMB# 134
Dover, DE 19904-7601
Phone (240) 712-4199

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.thecopingcorner.org Direct

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
21065MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Coping Corner CurrentSince Mar 1, 2021 Accepting new patients

Locations

1151 Walker Rd
Dover, DE 19904
Phone (302) 674-1397

Organizations & group practices 1

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": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1649895368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 WALKER RD PMB# 134",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047601",
            "telephone_number": "240-712-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 WALKER RD PMB# 134",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047601",
            "telephone_number": "240-712-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUARLES",
        "first_name": "MACIE",
        "credential": "MSW, LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.thecopingcorner.org",
            "affiliation": "N",
            "endpointDescription": "Practice Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website URL",
            "address_1": "1151 walker road pmb# 134",
            "city": "dover",
            "state": "DE",
            "country_code": "US",
            "postal_code": "19904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.