Active NPI
Elaine Spicer, LCSW
- Clinical Social Worker
- Gary, IN
National Provider Identifier
1154642254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34000821A
- Practice address
- 1225 N Warren St
Gary, IN 46403-1560 - Phone
- (219) 512-2642
- NPI assigned
- Jun 13, 2010
- 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 | 34000821A | IN | Primary |
Addresses
Primary practice location
1225 N Warren St
Gary, IN 46403-1560
Mailing address
1225 N Warren St
Gary, IN 46403-1560
Phone (219) 512-2642
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 |
|---|---|---|---|
| 34000821A | IN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276387200000",
"number": "1154642254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 N WARREN ST",
"city": "GARY",
"state": "IN",
"postal_code": "464031560",
"telephone_number": "219-512-2642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 N WARREN ST",
"city": "GARY",
"state": "IN",
"postal_code": "464031560",
"telephone_number": "219-512-2642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPICER",
"first_name": "ELAINE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-13",
"last_updated": "2010-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34000821A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gary, IN
- Sound Physicians of Indiana, LLC
- Morgan Nicole Southern, MSN-FNP
- Isadore Darrinton Sparks II, MS
- Shynese Tacquel Spencer
- Sphinx Incorporated
- Sport Orthopedic Rehabilitative Services Incorporated
- Stable Family & Children Services LLC
- Stable Home Care LLC
- Renetta Stalling Knighten
- Leah Lynn Staples, CNM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.