Active NPI
Olivia Rae Quinn-Harris, LCSW
- Clinical Social Worker
- Deltona, FL
National Provider Identifier
1801340682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 958 Roberts Blvd
Deltona, FL 32725-5761 - Phone
- (239) 738-1290
- NPI assigned
- Aug 9, 2016
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | FL | Primary |
Addresses
Primary practice location
958 Roberts Blvd
Deltona, FL 32725-5761
Mailing address
958 Roberts Blvd
Deltona, FL 32725-5761
Phone (239) 738-1290
Other practice location 1
1009 Maitland Center Commons Blvd
#212
Maitland, FL 32751-7270
Phone (239) 738-1290
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656720000000",
"number": "1801340682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "958 ROBERTS BLVD",
"city": "DELTONA",
"state": "FL",
"postal_code": "327255761",
"telephone_number": "239-738-1290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "958 ROBERTS BLVD",
"city": "DELTONA",
"state": "FL",
"postal_code": "327255761",
"telephone_number": "239-738-1290"
}
],
"practiceLocations": [
{
"address_1": "1009 Maitland Center Commons Blvd",
"address_2": "#212",
"address_purpose": "LOCATION",
"city": "Maitland",
"state": "FL",
"postal_code": "327517270",
"country_code": "US",
"telephone_number": "239-738-1290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUINN-HARRIS",
"first_name": "OLIVIA",
"middle_name": "RAE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-09",
"last_updated": "2022-07-02",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deltona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.