Healthcare Provider Details

I. General information

NPI: 1760069710
Provider Name (Legal Business Name): JILL QUINN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CAREW STREET STE 2
SPRINGFIELD MA
01104-2146
US

IV. Provider business mailing address

280 CHESTNUT ST FL 2
SPRINGFIELD MA
01199-1001
US

V. Phone/Fax

Practice location:
  • Phone: 413-794-9816
  • Fax: 413-794-4945
Mailing address:
  • Phone: 413-794-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW226049
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: