Elaine M McQuillan, LCSW CASAC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

R0500181 Issued in NY

Practice address

North County Complex Clinic Youth Adult Program
BLDG 151
Hauppauge, NY 11788

Phone

(631) 853-6340

Fax

(631) 853-6338

NPI assigned

May 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Elaine M Soljanich Former name

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932312113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 LAKEBRIDGE DR NORTH",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "11754",
            "telephone_number": "631-544-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTH COUNTY COMPLEX CLINIC YOUTH ADULT PROGRAM",
            "address_2": "BLDG 151",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "11788",
            "telephone_number": "631-853-6340",
            "fax_number": "631-853-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUILLAN",
        "first_name": "ELAINE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R0500181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "SOLJANICH",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "LCSW CASAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Francesca Marilyn McKernon
• Stephanie Rose McKinney, LCSW
• Shannette C McLean
• Susan McManus, LPN
• Carol R. McNally, LCSW
• Cheryl Dianne Meddles-Torres, FNP, PMHNP, ENP
• Agustina Kathy Medel, MASTERS
• Cristian Alexander Medina Martinez
• Medstar Surgical & Breathing Equipment, Inc. (Landauer Medstar)
• Daija Skye Mehaffie

• Social Worker in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.