Active NPI
Bonnie Rose Spencer, MSW LSWAIC MHP CDP
- Clinical Social Worker
- Spokane, WA
National Provider Identifier
1043787161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SC60592226
- Practice address
- E 44 Cozza
Spokane, WA 99208 - Phone
- (509) 325-6800
- NPI assigned
- Oct 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | SC60592226 | WA | Primary |
Addresses
Primary practice location
E 44 Cozza
Spokane, WA 99208
Mailing address
501 West Court Avenue
Chewelah, WA 99109
Phone (509) 435-5345
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC60592226 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540512000000",
"number": "1043787161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 WEST COURT AVENUE",
"city": "CHEWELAH",
"state": "WA",
"postal_code": "99109",
"telephone_number": "509-435-5345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "E 44 COZZA",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99208",
"telephone_number": "509-325-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "BONNIE",
"middle_name": "ROSE",
"credential": "MSW LSWAIC MHP CDP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-26",
"last_updated": "2018-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "SC60592226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.