Active NPI
Degra Spencer
- Clinical Social Worker
- Strongsville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.2203695
- Practice address
- 17637 Shurmer Rd
Strongsville, OH 44136-6157 - Phone
- (216) 210-4041
- NPI assigned
- Jun 28, 2018
- Last updated
- Sep 2, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S1600489 | OH | |
| Clinical Social Worker | 1041C0700X | I.2203695 | OH | Primary |
Addresses
Primary practice location
17637 Shurmer Rd
Strongsville, OH 44136-6157
Mailing address
1949 Green Rd
Cleveland, OH 44121-1160
Other practice location 1
1744 Payne Ave
Cleveland, OH 44114-2910
Phone (216) 623-6555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S1600489 | OH | MD | Social Worker |
| I.2203695 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oasis Counseling Solutions LLC | Clinical | Current | Accepting new patients |
| The Centers for Families and Children | Social Worker | Current | Accepting new patients |
| Center for Families & Children | Current | Accepting new patients | |
| The Butterfly Effect Transformation Services LLC | Clinical | Current | Accepting new patients |
Locations
12201 Euclid Ave
Cleveland, OH 44106
Phone (216) 373-2846
4500 Euclid Ave
Cleveland, OH 44103
Phone (216) 325-9404
5209 Detroit Ave
Cleveland, OH 44102
Phone (216) 651-2037
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Strongsville, OH
- NPI 1295400042
-
- Social Worker
- Cleveland, OH
- NPI 1770559478
-
- Clinical Social Worker
- Cleveland, OH
- NPI 1902774227
-
dba Center for Families & Children Pharmacy
- Community/Retail Pharmacy
- Cleveland, OH
- NPI 1841526415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1144715491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1949 GREEN RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441211160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17637 SHURMER RD",
"city": "STRONGSVILLE",
"state": "OH",
"postal_code": "441366157",
"telephone_number": "216-210-4041"
}
],
"practiceLocations": [
{
"address_1": "1744 Payne Ave",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441142910",
"country_code": "US",
"telephone_number": "216-623-6555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPENCER",
"first_name": "DEGRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-28",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S1600489",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.2203695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Strongsville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.