Individual provider Active NPI

Michelle Velta Spangenberg, LISW-S

  • Clinical Social Worker
  • Trenton, OH
National Provider Identifier
1417440132
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2204103-SUPV Issued in OH
Practice address
105 E Roger Dr
Trenton, OH 45067-9674
Phone
(513) 289-7004
NPI assigned
Jun 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2204103-SUPV OH Primary
Clinical Social Worker 1041C0700X TPSW5545 FL

Addresses

Primary practice location

105 E Roger Dr
Trenton, OH 45067-9674

Mailing address

105 E Roger Dr
Trenton, OH 45067-9674
Phone (513) 289-7004

Other practice location 1

2052 Princeton Rd
Fairfield Township, OH 45011-4746
Phone (513) 863-6383

Other practice location 2

311 Martin Luther King Dr E
Cincinnati, OH 45219-2581
Phone (513) 475-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240214002252 OH Practitioner - Clinical Social Worker 0749624021 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TPSW5545FLMDClinical Social Worker
I.2204103-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Crossroads Center CurrentSince Jan 11, 2024 Accepting new patients

Locations

311 Martin Luther King Dr E
Cincinnati, OH 45219
Phone (513) 475-5300

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/thecrossroadscenter/r4/

Organizations & group practices 1

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": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1417440132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E ROGER DR",
            "city": "TRENTON",
            "state": "OH",
            "postal_code": "450679674",
            "telephone_number": "513-289-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E ROGER DR",
            "city": "TRENTON",
            "state": "OH",
            "postal_code": "450679674",
            "telephone_number": "513-289-7004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2052 Princeton Rd",
            "address_purpose": "LOCATION",
            "city": "Fairfield Township",
            "state": "OH",
            "postal_code": "450114746",
            "country_code": "US",
            "telephone_number": "513-863-6383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 Martin Luther King Dr E",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192581",
            "country_code": "US",
            "telephone_number": "513-475-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPANGENBERG",
        "first_name": "MICHELLE",
        "middle_name": "VELTA",
        "name_prefix": "Ms.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2204103-SUPV",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "TPSW5545",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, OH

Sources for this page

Verify at the official NPI Registry.