MR. MACK CONLEY O'QUINN JR. (NPI# 1801854807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801854807 |
| Entity Type | Individual |
| Full Name | MR. MACK CONLEY O'QUINN JR. |
| Credential | MSW |
| Practice Address |
700 24th Street Kenner Army Health Clinic Fort Lee VA 23801 |
| Practice Telephone | 8047349149 |
| Practice Fax Number | 8778741008 |
| Mailing Telephone | 8047349149 |
| Mailing Fax Number | 8778741008 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2011-04-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW 3619 | HI | Behavioral Health & Social Service Providers |
| Street Address |
700 24TH STREET KENNER ARMY HEALTH CLINIC |
| City | FORT LEE |
| State | VA |
| Zip Code | 23801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245239763 | Kim Louise Parks | Nurse Practitioner | 700 24th Street, Fort Lee, VA 23801-1716 | 2005-07-18 |
| 1245458231 | Cartesea Cobb Williams | Licensed Practical Nurse | 700 24th Street, Fort Lee, VA 23801-1716 | 2007-04-23 |
| 1003849167 | Katherine Morris | Physician Assistant | 700 24th Street, Fort Lee, VA 23801-1716 | 2006-07-09 |
| 1942241237 | Deborah Bain | Registered Nurse | 700 24th Street, Usameddac Kahc, Fort Lee, VI 23801-1716 | 2006-06-09 |
| 1992759666 | Frances Hoberta Sommerville | Licensed Practical Nurse | 700 24th Street, Fort Lee, VA 23801-1716 | 2006-05-19 |
| 1083694871 | Jo Cordery | Social Worker | 700 24th Street, Fort Lee, VA 23801-1716 | 2006-01-18 |
| 1083690028 | Kimberly Ellen Newton | Registered Nurse | 700 24th Street, Usameddac Kahc Attn: Credentials Office, Fort Lee, VA 23801 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790262384 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | Ft. Lee 300 A Ave., Fort Lee, VA 23801 | 2018-07-26 |
| 1770812190 | Arkeye | Optometrist | 300 A Avenue, Bldg 1605, Fort Lee, VA 23801 | 2009-12-14 |
| 1992911044 | Claudis Andre' Williams Jr. | Physician Assistant | 700 24th St., Kenner Army Health Clinic, Ft. Lee, VA 23801 | 2007-05-15 |
| 1982703013 | Kenner Army Health Clinic | Military/U.S. Coast Guard Pharmacy | Bldg 3219, Ft Lee, VA 23801 | 2006-09-22 |
| 1922107044 | Kenner Army Health Clinic | Military/U.S. Coast Guard Pharmacy | Bldg P8130, Ft Lee, VA 23801 | 2006-09-22 |
| 1538135157 | Laurie Sue Giertz | Physician Assistant | 700 24th St Apt Hill, Fort Lee, VA 23801 | 2006-02-24 |
| 1689653396 | Robert Keith Lather | Emergency Medicine | Kenner Army Health Clinic, Primary Care Division, Ft Lee, VA 23801 | 2006-01-11 |
| 1265418370 | Edward Cathright Jr. | Dentist | 504 Trenton Drive, Fort Lee, VA 23801 | 2005-12-20 |
| 1619147618 | Tahayya A. M Ansari | Physician Assistant | 700 24th St, Kenner Army Health Clinic, Fort Lee, VA 23801-0030 | 2008-03-05 |
| 1679557466 | Rhonda Latice Toms | Registered Nurse | 920 Jackson Cir, Fort Lee, VA 23801-1083 | 2005-12-05 |
| Find all providers in zip 23801 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757994 | Diana Roman | Social Worker | 4305 Crest Ln, Fort Lee, NJ 07024-2232 | 2020-10-15 |
| 1679045652 | So Young Lee | Social Worker | 100 Old Palisade Rd Apt 606, Fort Lee, NJ 07024-7013 | 2019-01-01 |
| 1518343375 | Christina H. Lee | Social Worker | 2160 N Central Rd Ste 205b, Fort Lee, NJ 07024-7523 | 2015-08-04 |
| 1386030450 | Ilse M Gomez-avila | Social Worker | 1450 Westgate Dr, Fort Lee, NJ 07024-2171 | 2015-04-15 |
| 1750775946 | Aba Group Practice Pa | Social Worker | 1564 Lemoine Ave, Fort Lee, NJ 07024-5635 | 2015-03-25 |
| 1639414881 | Counsel Nj LLC | Social Worker | 1605 John St Ste 207, Fort Lee, NJ 07024-2550 | 2012-11-29 |
| 1962713693 | Angelina Valentin | Social Worker | 1 Bridge Plz N Ste 214, Fort Lee, NJ 07024-7101 | 2010-06-28 |
| 1710129382 | Heather Ann Christensen | Social Worker | 1241 Anderson Ave, #36, Fort Lee, NJ 07024-1777 | 2009-03-29 |
| 1932389855 | Center for Human Growth & Devlp | Social Worker | 1640 Anderson Avenue, Fort Lee, NJ 07024 | 2007-11-08 |
| 1346307782 | Judith Fichtenholtz | Social Worker | 1567 Palisades Ave, Suite 2c, Fort Lee, NJ 07024 | 2007-01-03 |
| Find all providers in FORT LEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.