Mack Conley O'Quinn Jr., MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 3619 Issued in HI

Practice address

700 24TH Street
Kenner Army Health Clinic
Fort Lee, VA 23801

Phone

(804) 734-9149

Fax

(877) 874-1008

NPI assigned

May 2, 2006

Sex

Male

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1801854807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 24TH STREET",
            "address_2": "KENNER ARMY HEALTH CLINIC",
            "city": "FORT LEE",
            "state": "VA",
            "postal_code": "23801",
            "telephone_number": "804-734-9149",
            "fax_number": "877-874-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 24TH STREET",
            "address_2": "KENNER ARMY HEALTH CLINIC",
            "city": "FORT LEE",
            "state": "VA",
            "postal_code": "23801",
            "telephone_number": "804-734-9149",
            "fax_number": "877-874-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'QUINN",
        "first_name": "MACK",
        "middle_name": "CONLEY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW 3619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ellen Newton, RN
• Michael P Neylon, MD
• Michael Nguyen, DDS
• Sharol Nigchereum Tamekong
• Julie A Niven, SOCIAL WORKER
• Stacie Ogg Hill, RN
• Optical Center
• Michael Joseph Orrick Jr., MD
• Jacob Anthony Orrino
• Alison Parchesky

• Clinical Social Worker in Fort Lee, VA
• Providers in Fort Lee, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.