Jacob R Spanjer

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61468090 Issued in WA

Practice address

715 W Court St
2ND Floor
Pasco, WA 99301-4153

Phone

(509) 545-6505

NPI assigned

Apr 12, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lourdes Hospital LLCGroup PAC ID 1850642562, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Lourdes Hospital LLC

  • Internal Medicine Physician
  • Pasco, WA
  • NPI 1659861060
  Medicare reassignment Care Compare group NPD
• The Therapy Corner PLLC

  • Clinical Social Worker
  • Richland, WA
  • NPI 1902679525
  NPD Authorized official
• Lourdes Hospital LLC

  • Rehabilitation Hospital Unit
  • Pasco, WA
  • NPI 1497817654
  NPD

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1306289905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1452",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993011223",
            "telephone_number": "509-547-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W COURT ST",
            "address_2": "2ND FLOOR",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993014153",
            "telephone_number": "509-545-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANJER",
        "first_name": "JACOB",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-12",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61468090",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG60225687",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noemi Rut Soto
• Kathryn L Soudah, M.D.
• Monique Marie Soulia
• South Eastern Washington Service Center of the Deaf and Hard of Hearin
• Spanish Lab LLC
• Spencer S. Jilek, DDS
• Mark Spencer
• Sarah St Germaine, RN
• Leslie Earl Stahlnecker, RN
• Jason Stalkfleet

• Clinical Social Worker in Pasco, WA
• Providers in Pasco, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.