Quad Cities Counseling, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

05987 Issued in IA

Legal business name

QUAD CITIES COUNSELING, PLLC

Practice address

2550 Middle Road
Suite 300
Bettendort, IA 52722

Phone

(563) 484-0770

Fax

(563) 345-6245

NPI assigned

Aug 23, 2011

Last updated

Feb 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Denise Marie Aden, LTSW

Title

Owner

Phone

(563) 484-0770

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1922388990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 MIDDLE RD",
            "address_2": "SUITE 300",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527227905",
            "telephone_number": "563-484-0770",
            "fax_number": "563-345-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 MIDDLE ROAD",
            "address_2": "SUITE 300",
            "city": "BETTENDORT",
            "state": "IA",
            "postal_code": "52722",
            "telephone_number": "563-484-0770",
            "fax_number": "563-345-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD CITIES COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "ADEN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-484-0770",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LTSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "05987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.