Individual provider Active NPI

Alicia Christine Spradlin, LCSW

  • Social Worker
  • Malden, MA
National Provider Identifier
1215200506
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
216942 Issued in MA
Practice address
730 Eastern Avenue
Eliot Children Youth and Family Center
Malden, MA 02148
Phone
(781) 395-0625
Fax
(781) 395-0198
NPI assigned
Feb 16, 2012
Last updated
Feb 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 216942 MA Primary

Addresses

Primary practice location

730 Eastern Avenue
Eliot Children Youth and Family Center
Malden, MA 02148

Mailing address

730 Eastern Avenue
Eliot Children Youth and Family Center
Malden, MA 02148
Phone (781) 395-0625

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": "1329350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1215200506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 EASTERN AVENUE",
            "address_2": "ELIOT CHILDREN YOUTH AND FAMILY CENTER",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "02148",
            "telephone_number": "781-395-0625",
            "fax_number": "781-395-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 EASTERN AVENUE",
            "address_2": "ELIOT CHILDREN YOUTH AND FAMILY CENTER",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "02148",
            "telephone_number": "781-395-0625",
            "fax_number": "781-395-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRADLIN",
        "first_name": "ALICIA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "216942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.