Mary Catherine Spooner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904003525 Issued in VA

Practice address

7404 Gallerher Rd
Suite 100
Gainesville, VA 20155-1602

Phone

(703) 909-8963

NPI assigned

Aug 13, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of NevadaGroup PAC ID 9234022153, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• State of Nevada

  dba Ely Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ely, NV
  • NPI 1760572010
  Medicare reassignment Care Compare group NPD
• Phoenix Family Counseling & Play Therapy Center, PLLC

  • Clinical Social Worker
  • Gainesville, VA
  • NPI 1831264738
  NPD Authorized official
• State of Nevada

  • Skilled Nursing Facility
  • Boulder City, NV
  • NPI 1083612741
  NPD
• State of Nevada

  dba Mesquite Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mesquite, NV
  • NPI 1730279092
  NPD

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194738237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 SNOW HILL DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201551237",
            "telephone_number": "703-909-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7404 GALLERHER RD",
            "address_2": "SUITE 100",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201551602",
            "telephone_number": "703-909-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOONER",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soto Training and Consulting, LLC (Athena Behavioral Treatment Center)
• Cole Sowers
• Spa Creek Dental of VA, PLLC
• Mary A Speicher, DMD
• Ilham Spingher, DDS
• Stephanie H Spytek, M.D.
• Sras LLC (Staywell Pharmacy)
• Maggie Stahl
• Jennifer M Staley, FNP
• Roy Michael Stefanik, D.O.

• Clinical Social Worker in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Clinical Social Worker in Virginia

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.