Carolyn Berg Spengler, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1030096 Issued in MA

Practice address

5 Hall Ave
Somerville, MA 02144-2003

Phone

(617) 623-3278

Fax

(617) 623-1332

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

Yes

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

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

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.

• Riverside Community Care, Inc.

  • Community/Behavioral Health Agency
  • Norwood, MA
  • NPI 1780791467
  Medicare reassignment NPD
• Somerville Mental Health Association, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Somerville, MA
  • NPI 1578674289
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396878625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HALL AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442003",
            "telephone_number": "617-623-3278",
            "fax_number": "617-623-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HALL AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442003",
            "telephone_number": "617-623-3278",
            "fax_number": "617-623-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENGLER",
        "first_name": "CAROLYN",
        "middle_name": "BERG",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1030096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Souza
• Seth Michael Souza, RPH
• Heather Ann Spangler, LICSW
• Emily J Speagle, LICSW
• Ashley E Speliotis, LICSW
• Jordan Spiers, LICAC
• Rebecca Carmen Spinale
• Spring Hill Dental
• Daniel Dylan Sprintzen, LICSW
• Varshini Sridhar, DMD

• Clinical Social Worker in Somerville, MA
• Providers in Somerville, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.