Individual provider Active NPI

Pamela Joan McQuaid, LCSW

  • Clinical Social Worker
  • Hinsdale, IL
National Provider Identifier
1891904504
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149006395 Issued in IL
Practice address
15 Spinning Wheel Rd
Hinsdale, IL 60521-2914
Phone
(708) 639-1693
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149006395 IL Primary

Addresses

Primary practice location

15 Spinning Wheel Rd
Hinsdale, IL 60521-2914

Mailing address

10262 Kitchner St
Westchester, IL 60154-2542
Phone (708) 345-5561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20140425000640 IL Practitioner - Clinical Social Worker 3072746197 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

512 W Burlington Ave
Suite 3
La Grange, IL 60525-2225
Phone (708) 639-1693

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149006395ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pam McQuaid LCSW LLC CurrentSince Nov 10, 2024 Accepting new patients

Locations

512 W Burlington Ave
Ste 3
La Grange, IL 60525
Phone (312) 351-4061

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1891904504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10262 KITCHNER ST",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542542",
            "telephone_number": "708-345-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SPINNING WHEEL RD",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212914",
            "telephone_number": "708-639-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUAID",
        "first_name": "PAMELA",
        "middle_name": "JOAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149006395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.