Active NPI
Laurel Lea Spencer, MSW
- Clinical Social Worker
- Williamsport, PA
National Provider Identifier
1043386444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW014459
- Practice address
- 435 W 4TH St
Williamsport, PA 17701-6001 - Phone
- (570) 322-7873
- Fax
- (570) 322-8026
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW014459 | PA | Primary |
Addresses
Primary practice location
435 W 4TH St
Williamsport, PA 17701-6001
Mailing address
435 W 4TH St
Williamsport, PA 17701-6001
Phone (570) 322-7873
Other names 1
- Laurel Lea Mosser
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diakon Medical Group LLC | Current | Accepting new patients |
Locations
1020 N Union St
Middletown, PA 17057
Phone (717) 795-0457
Organizations & group practices 1
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Holland, PA
- NPI 1689119794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306800000000",
"number": "1043386444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 W 4TH ST",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177016001",
"telephone_number": "570-322-7873",
"fax_number": "570-322-8026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 W 4TH ST",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177016001",
"telephone_number": "570-322-7873",
"fax_number": "570-322-8026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "LAUREL",
"middle_name": "LEA",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2011-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW014459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREL",
"last_name": "MOSSER",
"middle_name": "LEA",
"credential": "MSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.