Wayne Spicer Jr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.018235 Issued in IL

Practice address

1030 W Main St
Carlinville, IL 62626-9200

Phone

(217) 930-2106

NPI assigned

Feb 10, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Acorn Counseling & Mediation, LTD

  • Community/Behavioral Health Agency
  • Carlinville, IL
  • NPI 1225490915
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1013376656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CRESTWOOD DR",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261847",
            "telephone_number": "217-801-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 W MAIN ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626269200",
            "telephone_number": "217-930-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPICER",
        "first_name": "WAYNE",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lynn Sanson, RPH
• Teran Schlechte
• Crystal Ann Schmidt, CCC-SLP
• Ashley K Simons, DNP FNP-C
• Andrea L Spicer, LCSW
• Springfield Clinic Carlinville Lab
• Springfield Clinic LLP
• Springfield Eye Consultants PC
• Steven a Carr DMD LTD
• Brian Stoops, LCSW

• Clinical Social Worker in Carlinville, IL
• Providers in Carlinville, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.