Active NPI
Spencer Lee Dewoody
- School Social Worker
- Larkspur, CA
National Provider Identifier
1134430705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- Practice address
- 395 Doherty Dr
Larkspur, CA 94939-1536 - Phone
- (415) 945-3678
- NPI assigned
- Jun 29, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | Primary |
Addresses
Primary practice location
395 Doherty Dr
Larkspur, CA 94939-1536
Mailing address
395 Doherty Dr
Larkspur, CA 94939-1536
Phone (415) 945-3678
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01AV | Other | CA | MEDICAL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784419200000",
"number": "1134430705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 DOHERTY DR",
"city": "LARKSPUR",
"state": "CA",
"postal_code": "949391536",
"telephone_number": "415-945-3678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 DOHERTY DR",
"city": "LARKSPUR",
"state": "CA",
"postal_code": "949391536",
"telephone_number": "415-945-3678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWOODY",
"first_name": "SPENCER",
"middle_name": "LEE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-29",
"last_updated": "2026-07-19",
"certification_date": "2026-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "01AV",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Larkspur, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.