Individual provider Active NPI

Brendeen Allred Spencer, LCSW

  • Clinical Social Worker
  • St George, UT
National Provider Identifier
1215289343
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5486-C Issued in NV
Practice address
1220 Yucca Cir
St George, UT 84790-7551
Phone
(702) 906-5550
NPI assigned
Oct 13, 2012
Last updated
Aug 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6025235-3501 UT
Clinical Social Worker 1041C0700X 5486-C NV Primary

Addresses

Primary practice location

1220 Yucca Cir
St George, UT 84790-7551

Mailing address

1220 Yucca Cir
St George, UT 84790-7551
Phone (702) 906-5550

Other practice location 1

1220 Yucca Cir
St George, UT 84790-7551
Phone (702) 906-5550

Other names 1

  • Brendeen Allred Longoria Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6025235-3501UTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1350086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1215289343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 YUCCA CIR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907551",
            "telephone_number": "702-906-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 YUCCA CIR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907551",
            "telephone_number": "702-906-5550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 Yucca Cir",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847907551",
            "country_code": "US",
            "telephone_number": "702-906-5550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "BRENDEEN",
        "middle_name": "ALLRED",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-13",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6025235-3501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "5486-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDEEN",
            "last_name": "LONGORIA",
            "middle_name": "ALLRED",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.