Mary E Spaulding, APSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

130124-121 Issued in WI

Practice address

3 Riverview Dr
Manitowoc, WI 54220-3767

Phone

(920) 645-1411

NPI assigned

Nov 27, 2019

Sex

Female

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

Enrolled in WI

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Core Treatment Services, Inc.Group PAC ID 6608267430, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Core Treatment Services, Inc.

  • Community/Behavioral Health Agency
  • Manitowoc, WI
  • NPI 1659912319
  Medicare reassignment Care Compare group NPD
• Core Treatment Services, Inc.

  • Professional Counselor
  • Manitowoc, WI
  • NPI 1982491882
  NPD

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1023654829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 RIVERVIEW DR",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542203767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 RIVERVIEW DR",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542203767",
            "telephone_number": "920-645-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAULDING",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "APSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "130124-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan A Snellgrove, DPM
• Bailey Snyder, PA-C
• Stacey Elizabeth Soeldner, PSY.D.
• Rebecca Sohn, PA-C
• Joann P Sorenson, COTA
• Sheridan M Specht, NP
• Basil P Spyropoulos, M.D.
• Punya Srikanth, DMD
• St. Mary'S Home for the Aged, Inc
• Debra Ann St.Pierre, RPH

• Clinical Social Worker in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.