Amy Ruffolo Quinn, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

76683 Issued in CA

Practice address

302 W Grand Ave Ste 9
El Segundo, CA 90245-5111

Phone

(724) 816-9166

NPI assigned

Oct 5, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1801306782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 MAIN ST APT 106",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W GRAND AVE STE 9",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455111",
            "telephone_number": "724-816-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "AMY",
        "middle_name": "RUFFOLO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "76683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gisselle Quezada
• Jaime Azael Quezada
• Lissa Quezada
• Joseph Quiambao
• Arabelle Quiggle
• Alyssa Quinones
• Gabriella Quinones
• Naomie Quinonez
• Karen Citlali Quintana
• Zamary Quintana

• Clinical Social Worker in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.