Athena R Speller, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150114558 Issued in IL

Practice address

3117 1St Ave NE Ste a
Cedar Rapids, IA 52402-4436

Phone

(319) 365-0898

NPI assigned

Oct 7, 2024

Last updated

Oct 7, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1487473401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 PARK CT",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522331859",
            "telephone_number": "318-753-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 1ST AVE NE STE A",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024436",
            "telephone_number": "319-365-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELLER",
        "first_name": "ATHENA",
        "middle_name": "R",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150114558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sharon Spiller, ARNP
• Spinal Corrective Center PC

• Social Worker in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.