ELISE BRODERICK QUAM MSW, LICSW
NPI 1891269155
Social Worker - Clinical in Eagan, MN

Active since January 18, 2019PECOS EnrolledAccepts Medicare Assignment
3450 OLEARY LN, EAGAN, MN 55123(651) 454-0114 Get Directions Write a Review

NPPES record last updated: January 18, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1891269155
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELISE BRODERICK QUAMCredential: MSW, LICSW
Location Address3450 OLEARY LNEagan, MN 55123
Mailing Address3450 Oleary LnEagan, MN 55123-2340 · (651) 365-8628
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 18, 2019
NPI 1891269155 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 MN · 25498
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.

3450 OLEARY LN, Eagan, MN 55123

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.

PECOS PAC ID7810238367
PECOS Enrollment IDI20190409003460
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Social Worker (Clinical)
3450 OLEARY LN
EAGAN, MN 55123
Psychologist
3450 OLEARY LN
EAGAN, MN 55123
Social Worker (Clinical)
3450 OLEARY LN
EAGAN, MN 55123
Psychologist (Clinical)
3450 OLEARY LN
EAGAN, MN 55123
Psychologist (Clinical)
3450 OLEARY LN
EAGAN, MN 55123
Social Worker (Clinical)
3450 OLEARY LN
EAGAN, MN 55123
Social Worker (Clinical)
3450 OLEARY LN
EAGAN, MN 55123
Social Worker (Clinical)
3450 OLEARY LN
EAGAN, MN 55123

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891269155, enumerated as an "individual" on January 18, 2019.

The provider is located at 3450 OLEARY LN EAGAN, MN 55123 and the phone number is (651) 454-0114.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: HealthPartners and Providence Health Plan. Please consult your insurance carrier or call the provider to verify.