Quenton D Spates Jr., LLBSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6852093154 Issued in MI

Practice address

15600 19 Mile Rd
Clinton TWP, MI 48038-3502

Phone

(586) 263-8920

Fax

(586) 286-3832

NPI assigned

Feb 5, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1644019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1700530110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 19 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480383502",
            "telephone_number": "586-263-8920",
            "fax_number": "586-286-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 19 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480383502",
            "telephone_number": "586-263-8920",
            "fax_number": "586-286-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPATES",
        "first_name": "QUENTON",
        "middle_name": "D",
        "name_suffix": "Jr.",
        "credential": "LLBSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-05",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6852093154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "quenton.spates@morcinc.org",
            "affiliation": "N",
            "endpointDescription": "Work e-mail address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "15600 19 Mile Rd",
            "city": "Clinton Twp",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480383502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Social Worker in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.