Active NPI
Marilyn Quintanilla, LMSW
- Social Worker
- Greenwich, CT
National Provider Identifier
1720825979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 7195
- Practice address
- 1 Western Junior Hwy
Greenwich, CT 06830-6019 - Phone
- (475) 422-2445
- NPI assigned
- Jul 12, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7195 | CT | Primary |
Addresses
Primary practice location
1 Western Junior Hwy
Greenwich, CT 06830-6019
Mailing address
198 Westfield Ave
Bridgeport, CT 06606-4164
Phone (475) 422-2445
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7195 | CT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1720825979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 WESTFIELD AVE",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066064164",
"telephone_number": "475-422-2445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WESTERN JUNIOR HWY",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068306019",
"telephone_number": "475-422-2445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTANILLA",
"first_name": "MARILYN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-12",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "7195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.