Kelsey Lee Spacht

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I1901932 Issued in OH

Practice address

4434 Secor Rd Ste 2
Toledo, OH 43623-4265

Phone

(419) 508-5660

NPI assigned

Aug 31, 2017

Last updated

Jul 20, 2021By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• KS Counseling LLC

  • Clinical Social Worker
  • Toledo, OH
  • NPI 1295436012
  NPD Authorized official

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1225556194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4434 SECOR RD STE 2",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234265",
            "telephone_number": "419-508-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4434 SECOR RD STE 2",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234265",
            "telephone_number": "419-508-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPACHT",
        "first_name": "KELSEY",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1901932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ann Souza, LSW
• Sovereign Body of Love Healing Center, LLC
• Sovereign Solutions, LLC
• Breonna Sowell
• Amy Spacht
• Connie Therese Spahn, CNP
• Kara Elizabeth Spahn, PTA
• Chelsey Leigh Spangenberg, AU.D.
• Amy Spangler, CNP
• Matthew J Spangler, PA

• Clinical Social Worker in Toledo, OH
• Providers in Toledo, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.