Individual provider Active NPI

Quentin Calvert, CSW

  • Clinical Social Worker
  • Southfield, MI
National Provider Identifier
1700888674
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801017944 Issued in MI
Practice address
22255 Greenfield Rd
132
Southfield, MI 48075-3710
Phone
(248) 849-3301
Fax
(248) 849-5378
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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 6801017944 MI Primary

Addresses

Primary practice location

22255 Greenfield Rd
132
Southfield, MI 48075-3710

Mailing address

25925 Telegraph Rd
210
Southfield, MI 48034-2518
Phone (248) 746-0342

Other practice location 1

601 John St Ste M-170
Kalamazoo, MI 49007-5366
Phone (269) 381-5060

Other identifiers 1

IdentifierTypeStateIssuer
5301002923OtherMILLP

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20081125000145 MI Practitioner - Clinical Social Worker 6406916113 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronson Methodist HospitalGroup PAC ID 0244148633, 721 clinicians

Practice addresses (Care Compare)

601 John St
Suite 170
Kalamazoo, MI 49007-5366
Phone (269) 488-3236

Hospital & facility affiliations

  • Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017

Merit-based Incentive Payment System (MIPS)

Final score
86.43 of 100Reported as group
Quality
75.38
Promoting interoperability
100
Improvement activities
40
Cost
79.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801017944MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Battle Creek Hospital CurrentSince Oct 1, 2021 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Oct 1, 2021 Accepting new patients
Bronson Lakeview Hospital CurrentSince Oct 1, 2021 Accepting new patients
Bronson Lakeview Hospital CurrentSince Oct 1, 2021 Accepting new patients
Bronson South Haven Hospital CurrentSince Oct 1, 2021 Accepting new patients
Bronson South Haven Hospital CurrentSince Oct 1, 2021 Accepting new patients
Bronson Methodist Hospital CurrentSince Oct 1, 2021 Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients

Locations

520 Railroad St
Bangor, MI 49013
Phone (269) 427-5811

2900 Watkins Rd
Battle Creek, MI 49015
Phone (269) 245-5430

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
Ste M-170
Kalamazoo, MI 49007
Phone (269) 343-3939

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725

940 Blue Star Hwy
South Haven, MI 49090
Phone (269) 263-2976

950 S Bailey Ave
South Haven, MI 49090
Phone (269) 639-2796

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1700888674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25925 TELEGRAPH RD",
            "address_2": "210",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480342518",
            "telephone_number": "248-746-0342",
            "fax_number": "248-746-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22255 GREENFIELD RD",
            "address_2": "132",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753710",
            "telephone_number": "248-849-3301",
            "fax_number": "248-849-5378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 John St Ste M-170",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490075366",
            "country_code": "US",
            "telephone_number": "269-381-5060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALVERT",
        "first_name": "QUENTIN",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801017944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LLP",
            "identifier": "5301002923",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.