Marisa Spears
Individual provider Active NPI Clinical Social Worker · Wilder, KY
NPI 1093234841 · NPPES record last updated Sep 13, 2017
Key facts
- NPI
- 1093234841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 1 Moock Rd Ste 101
Wilder, KY 41071-5465 - Phone
- (859) 630-7081
- Fax
- (859) 341-9444
- NPI assigned
- Sep 13, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | KY | Yes |
Addresses
Primary practice location
1 Moock Rd Ste 101
Wilder, KY 41071-5465
Mailing address
1 Moock Rd Ste 101
Wilder, KY 41071-5465
Phone (859) 341-9333
Other providers in Wilder, KY
- Jacob Roberts
- Dominic Edward Ruschman
- Madija J. Sandy
- Emily Ann Sherlock
- Evan Michael Sims
- Thomas Gregory Stadler
- Petina Rachelle Strickley
- Sally J Sweeney
- Joann M Terry
- Therapeutic Collaborative
All providers in Wilder, KY · Clinical Social Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.