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MR. MIGUEL RICARDO QUINTANILLA LMSW NPI 1598097958


NPI Information

NPI: 1598097958
Provider Name: MR. MIGUEL RICARDO QUINTANILLA, LMSW
Classification: Social Worker - 104100000X
Entity Type: Individual
Address:
3501 LAKE EASTBROOK BLVD SE
#258
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 719-0194
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MR. Miguel Ricardo Quintanilla, LMSW is a social worker in Grand Rapids, MI. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. MR. Miguel Ricardo Quintanilla, LMSW NPI is 1598097958. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3501 LAKE EASTBROOK BLVD SE
#258
GRAND RAPIDS, MI
ZIP 49546-938
Phone: (616) 719-0194
Fax: (800) 219-5205

The enumeration date for this NPI number is 2/9/2010 and was last updated on 3/17/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial Worker6801091225MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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