Penny McQuinn, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

090214 Issued in NY

Practice address

17 Avery Rd
Brushton, NY 12916-3400

Phone

(518) 353-3035

NPI assigned

Mar 22, 2014

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Penny Collins Former name

Medicare fee-for-service enrollment

Enrolled in NY

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Broken Walls Crushed Sidewalks Counseling LCSW PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brushton, NY
  • NPI 1023538006
  NPD (past) Authorized official

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

{
    "created_epoch": "1395446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1659798197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WEST ST",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531120",
            "telephone_number": "518-353-3035",
            "fax_number": "518-536-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 AVERY RD",
            "city": "BRUSHTON",
            "state": "NY",
            "postal_code": "129163400",
            "telephone_number": "518-353-3035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 N Ballston Ave",
            "address_purpose": "LOCATION",
            "city": "Scotia",
            "state": "NY",
            "postal_code": "123022533",
            "country_code": "US",
            "telephone_number": "518-374-3514 x420",
            "fax_number": "518-374-9193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCQUINN",
        "first_name": "PENNY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "090214",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085613",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05024319",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PENNY",
            "last_name": "COLLINS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brushton-Moira Central School
• Joanne Cassavaw
• Stacie L Collette, RN
• Stephanie Maneely, RN
• Pamela M Martin, RN
• Sonya Lemarie Moyer, LPN
• Toni Louise Newman, LPN
• Christine Saumier, COTA
• Jessica A. Stover, M.A., CCC-SLP
• Daniel Taylor, COTA

• Social Worker in Brushton, NY
• Providers in Brushton, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.