Provider Demographics
NPI:1114809829
Name:O'QUINN, ANNA BROOKE (LCSWA)
Entity type:Individual
Prefix:MISS
First Name:ANNA
Middle Name:BROOKE
Last Name:O'QUINN
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:MISS
Other - First Name:ANNA
Other - Middle Name:BROOKE
Other - Last Name:O'QUINN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BSW, MSW, LCSWA
Mailing Address - Street 1:585 COOL SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:LILLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27546-7414
Mailing Address - Country:US
Mailing Address - Phone:910-890-4917
Mailing Address - Fax:
Practice Address - Street 1:421 FAYETTEVILLE ST STE 1100
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27601-3000
Practice Address - Country:US
Practice Address - Phone:910-890-4917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0224901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical