ELISE BRODERICK QUAM MSW, LICSW
NPI 1891269155
Social Worker - Clinical in Eagan, MN
About Elise Broderick Quam Msw, Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELISE BRODERICK QUAM MSW, LICSW (NPI 1891269155) is an individual clinical provider in Eagan, Minnesota, licensed in Minnesota (25498) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Elise Broderick Quam Msw, Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Elise Quam's NPI number?
The NPI number for Elise Quam is 1891269155. It was assigned to this individual provider in the NPPES registry on January 18, 2019.
Where is Elise Quam located?
Elise Quam practices at 3450 Oleary Ln, Eagan, MN 55123. The listed phone number is (651) 454-0114.
What is Elise Quam's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Elise Quam enrolled in Medicare?
Yes. Elise Quam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Elise Quam accept?
Health plans from HealthPartners and Providence Health Plan list Elise Quam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Elise Quam was last updated on January 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Elise Broderick Quam, MSW, LICSW · NPI 1891269155
Clinical provider in Eagan, Minnesota. Individual provider, active in the CMS NPPES registry since January 18, 2019.
## Identity
- **NPI:** 1891269155 (Entity type: Individual)
- **Enumerated:** January 18, 2019
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 25498 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 3450 OLEARY LN, Eagan, MN 55123
- **Phone:** (651) 454-0114
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** January 18, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1891269155) · Data from the CMS NPPES public registry.