Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ralph Kieffer Quillman, ACSW

Individual provider Clinical Social Worker · NPI 1124191101

Ralph Kieffer Quillman, ACSW is a Clinical Social Worker in Everett, Washington. Qualified in 1981, 45 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
45
Licensed in
WA
In the registry since
2006

Practice location Address checks out

1814 105th St SE
Everett, WA 98208
Phone: (425) 385-8118
Fax: (425) 385-3748
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW00006531 (WA)

Record details

NPI number1124191101
Entity typeIndividual (Type 1)
GenderMale
Credentials ACSW
Sole proprietorNo
NPI enumeratedNovember 16, 2006
Last updated in NPPESDecember 9, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Everett