Spencer Ledbetter, SPENCER LEDBETTER
Individual provider Active NPI Social Worker · Jones, OK
NPI 1447571591 · NPPES record last updated Jun 11, 2010
Key facts
- NPI
- 1447571591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 9500 NE 150TH St
Jones, OK 73049-8601 - Phone
- (405) 396-3391
- NPI assigned
- Jun 11, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
9500 NE 150TH St
Jones, OK 73049-8601
Mailing address
1222 NW 17TH St
Oklahoma City, OK 73106-4202
Phone (405) 525-3963
Other names
- Spencer Ledbetter
Other providers in Jones, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.