Active NPI
Constance Ann Quinn, LCSW-R, DSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1720145154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0561621
- Practice address
- 111 8TH Ave
Suite 810
New York, NY 10011-5201 - Phone
- (212) 624-1080
- Fax
- (917) 591-6490
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 122803 | MA | |
| Clinical Social Worker | 1041C0700X | 0561621 | NY | Primary |
Addresses
Primary practice location
111 8TH Ave
Suite 810
New York, NY 10011-5201
Mailing address
111 8TH Ave
Suite 810
New York, NY 10011-5201
Phone (212) 624-1080
Other practice location 1
53 State St
Boston, MA 02109-2820
Phone (617) 903-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250110002640 | OH | Practitioner - Clinical Social Worker | 0446359905 | Reassigns benefits to 1 organization |
| I20250327000442 | MA | Practitioner - Clinical Social Worker | 0446359905 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122803 | MA | MD | Clinical Social Worker |
| 0561621 | NY | MD | Clinical Social Worker |
| 069781 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Community Physicians Inc | Current | Accepting new patients | |
| Mass General Brigham Community Physicians Inc. | Current | Accepting new patients | |
| Ohio State University - Cap | Current | Accepting new patients | |
| Mass General Brigham Community Physicians Inc. | Current | Accepting new patients | |
| Nysarc Inc Sullivan County Chapter | Past | Accepting new patients | |
| One Medical of Ny, P.C. | Past | Accepting new patients | |
| One Medical Group, PC | Past | Accepting new patients | |
| Nysarc, Inc. Dutchess County Chapter | Past | Accepting new patients |
Locations
53 State St
Ste 106
Boston, MA 02109
399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-2063
3870 Townsfair Way
#103B
Columbus, OH 43219
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Internal Medicine Physician
- Haverhill, MA
- NPI 1891112637
MA
-
- Cardiovascular Disease Physician
- Medford, MA
- NPI 1548638265
-
- Family Medicine Physician
- Boston, MA
- NPI 1265094122
-
- Developmental Disabilities Clinic/Center
- Monticello, NY
- NPI 1609985571
-
- Developmental Disabilities Clinic/Center
- Poughkeepsie, NY
- NPI 1760563738
-
- General Practice Physician
- New York, NY
- NPI 1144457151
-
- Family Medicine Physician
- New York, NY
- NPI 1811365422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1720145154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 8TH AVE",
"address_2": "SUITE 810",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100115201",
"telephone_number": "212-624-1080",
"fax_number": "917-591-6490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 8TH AVE",
"address_2": "SUITE 810",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100115201",
"telephone_number": "212-624-1080",
"fax_number": "917-591-6490"
}
],
"practiceLocations": [
{
"address_1": "53 State St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021092820",
"country_code": "US",
"telephone_number": "617-903-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUINN",
"first_name": "CONSTANCE",
"middle_name": "ANN",
"credential": "LCSW-R, DSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "122803",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "0561621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.