Individual provider Active NPI

Mark C Spears, M.S.S.W.

  • Clinical Social Worker
  • Silverthorne, CO
National Provider Identifier
1497787493
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
992698 Issued in CO
Practice address
718 Willowbrook Rd
Silverthorne, CO 80498
Phone
(970) 513-7767
NPI assigned
Jul 7, 2006
Last updated
Jul 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 992698 CO Primary

Addresses

Primary practice location

718 Willowbrook Rd
Silverthorne, CO 80498

Mailing address

718 Willowbrook Rd
Silverthorne, CO 80498
Phone (970) 513-7767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20070403000231 CO Practitioner - Clinical Social Worker 7416051321 Practice locations: Silverthorne, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

718 Willowbrook Rd
Silverthorne, CO 80498-9201
Phone (970) 513-7767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
992698COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1497787493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 WILLOWBROOK RD",
            "city": "SILVERTHORNE",
            "state": "CO",
            "postal_code": "80498",
            "telephone_number": "970-513-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 WILLOWBROOK RD",
            "city": "SILVERTHORNE",
            "state": "CO",
            "postal_code": "80498",
            "telephone_number": "970-513-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEARS",
        "first_name": "MARK",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "M.S.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "992698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverthorne, CO

Sources for this page

Verify at the official NPI Registry.