Annette Naline Quiett, LCSW 28623

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 28623 Issued in CA

Practice address

908 Tuolumne St
Vallejo, CA 94590-4641

Phone

(415) 845-7167

NPI assigned

Dec 11, 2006

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

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Center for New Directions, Inc.

  • Mental Health Counselor
  • Laguna Hills, CA
  • NPI 1578121190
  Medicare reassignment NPD
• Sondermind Professional Clinical Counselor, PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1598629362
  Medicare reassignment
• Stephen M Pumphrey Licensed Clinical Social Workers Inc

  • Clinical Social Worker
  • Laguna Hills, CA
  • NPI 1386862969
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1811057540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 TUOLUMNE ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945904641",
            "telephone_number": "415-845-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 TUOLUMNE ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945904641",
            "telephone_number": "415-845-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIETT",
        "first_name": "ANNETTE",
        "middle_name": "NALINE",
        "credential": "LCSW 28623",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW 28623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlton W. Purviance, PH.D.
• Lawrence Putong, P.T.
• Albert Quentela, RPH
• Quick Rides Ca
• Quickcare Employer Solutions LLC
• Renato Quinones
• Andrea Gail Estrella Quintela
• John Agassi Reyes Quintos
• Jeremy Quock
• Alexa Namba Quon, DPT

• Clinical Social Worker in Vallejo, CA
• Providers in Vallejo, 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 Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.