Organization Active NPI

Design for Individual Family & Comm Inc

  • Clinical Social Worker
  • Oberlin, OH
National Provider Identifier
1194845404
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DESIGN FOR INDIVIDUAL FAMILY & COMM INC
Practice address
461 West Lorain St
Oberlin, OH 44074-1001
Phone
(440) 775-2905
Fax
(440) 775-2905
NPI assigned
Mar 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Donald Lee Spencer, PHDNPI 1104832567
Title
Founder Clinical Director
Phone
(440) 775-2905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

461 West Lorain St
Oberlin, OH 44074-1001

Mailing address

461 West Lorain St
Oberlin, OH 44074-1001
Phone (440) 775-2905

Other names 1

  • Design For Individual Damily and Community Inc DIFC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194845404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 WEST LORAIN ST",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "440741001",
            "telephone_number": "440-775-2905",
            "fax_number": "440-775-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 WEST LORAIN ST",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "440741001",
            "telephone_number": "440-775-2905",
            "fax_number": "440-775-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIGN FOR INDIVIDUAL FAMILY & COMM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "FOUNDER CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "440-775-2905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Design For Individual Damily and Community Inc DIFC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oberlin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.