Individual provider Active NPI

Quickson Ndlovu, LCSW-S

  • Clinical Social Worker
  • McAllen, TX
National Provider Identifier
1780049411
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
56409 Issued in TX
Practice address
901 E Hackberry Ave
McAllen, TX 78501-6502
Phone
(956) 618-7100
NPI assigned
Dec 22, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 56409 TX Primary

Addresses

Primary practice location

901 E Hackberry Ave
McAllen, TX 78501-6502

Mailing address

PO Box 4796
McAllen, TX 78502-4796
Phone (956) 570-5110

Other practice location 1

5415 N McColl Rd Ste 105
McAllen, TX 78504-4664
Phone (956) 570-5110

Other practice location 2

2544 Central Palm Dr Ste 105
Rio Grande City, TX 78582-6669
Phone (956) 570-5110

Other identifiers 1

IdentifierTypeStateIssuer
2X3158OtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230809002034 TX Practitioner - Clinical Social Worker 4981064136 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
56409TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Proginosko Behavioral Health & Wellness, LLC Clinical CurrentSince Jul 28, 2023 Accepting new patients

Locations

5415 N McColl Rd
Ste 105
McAllen, TX 78504
Phone (956) 570-5110

310 W Nolana Ave
McAllen, TX 78504
Phone (956) 570-5110

2544 Central Palm Dr
Ste 105
Rio Grande City, TX 78582
Phone (956) 487-5025

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1780049411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4796",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785024796",
            "telephone_number": "956-570-5110",
            "fax_number": "956-679-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E HACKBERRY AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785016502",
            "telephone_number": "956-618-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5415 N McColl Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785044664",
            "country_code": "US",
            "telephone_number": "956-570-5110",
            "fax_number": "956-679-3040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2544 Central Palm Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Rio Grande City",
            "state": "TX",
            "postal_code": "785826669",
            "country_code": "US",
            "telephone_number": "956-570-5110",
            "fax_number": "956-679-3040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NDLOVU",
        "first_name": "QUICKSON",
        "name_prefix": "Dr.",
        "credential": "LCSW-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-22",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "56409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2X3158",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.