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ALEX BALMORE QUINTANILLA LCSW 84870
NPI 1568635613
Social Worker - Clinical in Champaign, IL

Active since April 09, 2008
44 E MAIN ST STE 406, CHAMPAIGN, IL 61820(217) 615-0350 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2023, Oct 17, 2018 (2 updates tracked since 2018).

About Alex Balmore Quintanilla Lcsw 84870 NPPES

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

ALEX BALMORE QUINTANILLA LCSW 84870 (NPI 1568635613) is an individual clinical provider in Champaign, Illinois, licensed in Illinois (149.023430) and active in the NPI registry since April 2008. He maintains a secondary practice location in Champaign.

NPPES Registry Identity

NPI1568635613
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameALEX BALMORE QUINTANILLACredential: LCSW 84870
Location Address44 E MAIN ST STE 406Champaign, IL 61820-3649
Mailing Address1717 W Kirby Ave Unit 306Champaign, IL 61821-5507 · (217) 615-0350
Phone(217) 615-0350
Sole ProprietorNo
Enumeration DateApril 9, 2008
Last NPPES UpdateJuly 14, 20232 updates tracked since enumeration
NPPES CertifiedJuly 14, 2023
✔ NPI 1568635613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in IL · 149.023430✔ Licensed in CA · 84870
Definition
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.
44 E MAIN ST STE 406, Champaign, IL 61820
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Secondary Practice Location 1

Location 1610 E John StChampaign, IL 61820-5717 · Phone (217) 333-3704

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONSTRUCTIVE CHANGES LICENSED CLINICAL SOCIAL WORKER SERVICES
Community/Behavioral Health
44 E MAIN ST STE 406
CHAMPAIGN, IL 61820
Champaign County (217) 615-0350

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 Alex Quintanilla's NPI number?

The NPI number for Alex Quintanilla is 1568635613. It was assigned to this individual provider in the NPPES registry on April 9, 2008.

Where is Alex Quintanilla located?

Alex Quintanilla practices at 44 E Main St Ste 406, Champaign, IL 61820. The listed phone number is (217) 615-0350.

What is Alex Quintanilla's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Alex Quintanilla was last updated on July 14, 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.