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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALEX BALMORE QUINTANILLA, LCSW 84870

Active

ALEX BALMORE QUINTANILLA, LCSW 84870 is a Clinical Social Worker healthcare provider located in CHAMPAIGN, Illinois. NPI 1568635613 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · CHAMPAIGN, IL

Registration Details

NPI Number
1568635613
Provider Type
Individual
Gender
Male
NPI Issued
Apr 9, 2008 (18.356985359605 yrs)
Last Updated
Jul 14, 2023
Licenses
84870 (CA)
149.023430 (IL)

Practice Information

Address
44 E MAIN ST STE 406
CHAMPAIGN, IL, 618203649
Browse IL providers · Browse ZIP 61820
Phone
2176150350
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in CHAMPAIGN, IL

Name Credential NPI
MS. SANDRA KAY FERGUSON LCSW 1538157961
MR. GREGORY ALAN WHICKER MSW, LCSW 1487670659
MR. STEPHEN HIGGINS LCSW 1730193376
LAURELYN HODGES CROPEK LCSW 1922010701
CHRISTINE MARIE MAYER LCSW 1093727885
MR. NICHOLAS MACKENZIE BRIDGETT LCSW 1306858592
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.