Healthcare Provider Details

I. General information

NPI: 1407846553
Provider Name (Legal Business Name): MARY P QUINLAN LICSW LADC
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/28/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 SHELBURNE RD
GREENFIELD MA
01301-9622
US

IV. Provider business mailing address

45 EASTERN AVE
GREENFIELD MA
01301-1218
US

V. Phone/Fax

Practice location:
  • Phone: 413-774-1000
  • Fax: 413-774-1197
Mailing address:
  • Phone: 413-774-1000
  • Fax: 413-774-1197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1753
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1022820
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: