Elaine Quigley, LCSW
Individual provider Active NPI Clinical Social Worker · Massapegua, NY
NPI 1831270503 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831270503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 018833-1 (NY)
- Practice address
- 4585 Merrick Rd
Massapegua, NY 11758 - Phone
- (516) 797-0601
- Fax
- (516) 799-6137
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070719 | NY | MD | Social Worker |
| 018833-1 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 018833-1 | NY | Yes |
Addresses
Primary practice location
4585 Merrick Rd
Massapegua, NY 11758
Mailing address
240 Bay Drive
Massapequa, NY 11758
Phone (516) 797-0601
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.