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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

QUINCY RIDLEY BSW, MSW, LCSWA
NPI 1831079912
Social Worker - Clinical in Indian Trail, NC

Active since September 08, 2025
5056 GRAIN ORCHARD RD, INDIAN TRAIL, NC 28079(253) 209-9772 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 9, 2026, Sep 8, 2025 (2 updates tracked since 2025).

About Quincy Ridley Bsw, Msw, Lcswa NPPES

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

QUINCY RIDLEY BSW, MSW, LCSWA (NPI 1831079912) is an individual clinical provider in Indian Trail, North Carolina, licensed in North Carolina (P020011) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1831079912
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameQUINCY RIDLEYCredential: BSW, MSW, LCSWA
Location Address5056 GRAIN ORCHARD RDIndian Trail, NC 28079-2315
Mailing Address5056 Grain Orchard RdIndian Trail, NC 28079 · (253) 209-9772
Phone(253) 209-9772
Sole ProprietorYes
Enumeration DateSeptember 8, 2025
Last NPPES UpdateSeptember 9, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
✔ NPI 1831079912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · P020011
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.
5056 GRAIN ORCHARD RD, Indian Trail, NC 28079
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Quincy Ridley's NPI number?

The NPI number for Quincy Ridley is 1831079912. It was assigned to this individual provider in the NPPES registry on September 8, 2025.

Where is Quincy Ridley located?

Quincy Ridley practices at 5056 Grain Orchard Rd, Indian Trail, NC 28079. The listed phone number is (253) 209-9772.

What is Quincy Ridley'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 Quincy Ridley was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.