Individual provider Active NPI

Spencer Clay Emery

  • Clinical Social Worker
  • Scottsdale, AZ
National Provider Identifier
1235026568
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LMSW-22687 Issued in AZ
Practice address
7373 N Scottsdale Rd Ste D120
Scottsdale, AZ 85253-3506
Phone
(480) 618-6595
NPI assigned
Jun 19, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LMSW-22687 AZ Primary

Addresses

Primary practice location

7373 N Scottsdale Rd Ste D120
Scottsdale, AZ 85253-3506

Mailing address

5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631

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

State licenses

LicenseStateTypeSpecialty
LMSW-22687AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Change Academy at Lake of the Ozarks CurrentSince Jun 23, 2025 Accepting new patients
Change Academy at Lake of the Ozarks CurrentSince Jun 23, 2025 Accepting new patients

Locations

7373 N Scottsdale Rd
Ste D120
Scottsdale, AZ 85253
Phone (480) 618-6595

5500 Ming Ave
Ste 410
Bakersfield, CA 93309
Phone (661) 622-4132

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1235026568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MING AVE STE 410",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933094631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 N SCOTTSDALE RD STE D120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852533506",
            "telephone_number": "480-618-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERY",
        "first_name": "SPENCER",
        "middle_name": "CLAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LMSW-22687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.