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MARY L QUALLS LCSW
NPI 1467239087
Counselor - Mental Health in Litchfield Park, AZ

Active since September 08, 2023Opted out of Medicare · through Jul 12, 2028
501 E PLAZA CIR STE 13, LITCHFIELD PARK, AZ 85340(602) 818-2615 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Mary L Qualls Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY L QUALLS LCSW (NPI 1467239087) is an individual mental health provider in Litchfield Park, Arizona, licensed in Arizona (LCSW-13257) and active in the NPI registry since September 2023. She has opted out of Medicare through July 12, 2028.

NPPES Registry Identity

NPI1467239087
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY L QUALLSCredential: LCSW
Location Address501 E PLAZA CIR STE 13Litchfield Park, AZ 85340-4909
Mailing Address12730 W Avalon DrAvondale, AZ 85392-6645
Phone(602) 818-2615
Sole ProprietorYes
Enumeration DateSeptember 8, 2023
Last NPPES UpdateSeptember 18, 2023
NPPES CertifiedSeptember 18, 2023
✔ NPI 1467239087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AZ · LCSW-13257
501 E PLAZA CIR STE 13, Litchfield Park, AZ 85340
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Other Names 1

Other Name (5)Lucy Qualls Lcsw

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mary L Qualls Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 12, 2024 through July 12, 2028.

Opt-Out Effective DateJuly 12, 2024
Opt-Out In Effect ThroughJuly 12, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Qualls's NPI number?

The NPI number for Mary Qualls is 1467239087. It was assigned to this individual provider in the NPPES registry on September 8, 2023. The provider is also known as Lucy Qualls Lcsw.

Where is Mary Qualls located?

Mary Qualls practices at 501 E Plaza Cir Ste 13, Litchfield Park, AZ 85340. The listed phone number is (602) 818-2615.

What is Mary Qualls's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Mary Qualls enrolled in Medicare?

No. Mary Qualls has opted out of Medicare through July 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mary Qualls was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.