Individual provider Active NPI

Regina R. Spicer, LSW, LICDC-CS

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1306112610
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S0024980 Issued in OH
Practice address
1545 W 25TH St
Cleveland, OH 44113-3158
Phone
(216) 781-2250
Fax
(216) 781-2295
NPI assigned
Mar 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 991505 OH
Clinical Social Worker 1041C0700X S0024980 OH Primary

Addresses

Primary practice location

1545 W 25TH St
Cleveland, OH 44113-3158

Mailing address

1545 W 25TH St
Cleveland, OH 44113-3158
Phone (216) 781-2250

Other names 1

  • Ms. Regina R. Spicer Professional 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
991505OHMDAddiction (Substance Use Disorder) Counselor
S0024980OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Front Steps Housing and Services Past Accepting new patients
Front Steps Housing and Services PastSince Jul 1, 2022 Accepting new patients

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": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1306112610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 W 25TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133158",
            "telephone_number": "216-781-2250",
            "fax_number": "216-781-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 W 25TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133158",
            "telephone_number": "216-781-2250",
            "fax_number": "216-781-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPICER",
        "first_name": "REGINA",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "LSW, LICDC-CS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "991505",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S0024980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "SPICER",
            "middle_name": "R.",
            "prefix": "MS.",
            "credential": "LSW, LICDC-CS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.