Individual provider Active NPI

Lynette Spencer, LCSW

  • Clinical Social Worker
  • Batavia, IL
National Provider Identifier
1013920792
Registry record updated Feb 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-007034 Issued in IL
Practice address
34 N Island Ave Ste F
Batavia, IL 60510-1996
Phone
(847) 867-8936
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149-007034 IL Primary

Addresses

Primary practice location

34 N Island Ave Ste F
Batavia, IL 60510-1996

Mailing address

15770D Griswold Springs Rd
Plano, IL 60545-9820
Phone (815) 758-8671

Other identifiers 2

IdentifierTypeStateIssuer
066349OtherILHEALTH ALLIANCE
149007034MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110407000304 IL Practitioner - Clinical Social Worker 5395929897 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149-007034ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Action Consulting and Therapy, PLLC Clinical CurrentSince Oct 22, 2023 Accepting new patients
Adventure Works of Dekalb County, Inc. Clinical Current Accepting new patients
Blue Dot Psychotherapy PLLC Clinical CurrentSince Oct 22, 2023 Accepting new patients
Adventure Works of Dekalb County, Inc. Current Accepting new patients

Locations

34 N Island Ave
Ste F
Batavia, IL 60510
Phone (630) 601-3460

2325 Dean St
Ste 308
St Charles, IL 60175
Phone (847) 867-8936

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8426/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771718400000",
    "number": "1013920792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15770D GRISWOLD SPRINGS RD",
            "city": "PLANO",
            "state": "IL",
            "postal_code": "605459820",
            "telephone_number": "815-758-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 N ISLAND AVE STE F",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101996",
            "telephone_number": "847-867-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "LYNETTE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2026-02-22",
        "certification_date": "2026-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-007034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "066349",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149007034",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, IL

Sources for this page

Verify at the official NPI Registry.