Carol Sue Spencer, LCSW, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34000454A Issued in IN

Practice address

315 S Berkley Rd
Kokomo, IN 46901-5114

Phone

(765) 457-9719

Fax

(765) 457-5991

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24167/brand/1/csg/1/fhir/r4

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.

• Mending Minds, LLC

  • Psychiatry Physician
  • Indianapolis, IN
  • NPI 1780258798
  NPD
• Green House and Associates Inc

  • Psychologist
  • McCordsville, IN
  • NPI 1558316463

  Clinical

  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083786990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 ALBRIGHT RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469024469",
            "telephone_number": "765-455-1020",
            "fax_number": "765-455-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S BERKLEY RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469015114",
            "telephone_number": "765-457-9719",
            "fax_number": "765-457-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "CAROL",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "LCSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34000454A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Spangler, MD
• Mackenzie Spangler
• Jenna Speicher
• David Spence
• Heath Spence, MD
• Spero Therapy Services, Inc.
• Spine & Sports Medicine
• Jensen Spitznogle
• Sports Medicine and Physical Therapy Center
• Bradley Sprague

• Clinical Social Worker in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.