Active NPI
Spencer Rodd Luzwick
- Clinical Social Worker
- Indianapolis, IN
National Provider Identifier
1538891551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34008738A
- Practice address
- 9465 Counselors Row Ste 200
Indianapolis, IN 46240-3817 - Phone
- (800) 442-8938
- NPI assigned
- Jun 28, 2022
- Last updated
- Jun 28, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34008738A | IN | Primary |
Addresses
Primary practice location
9465 Counselors Row Ste 200
Indianapolis, IN 46240-3817
Mailing address
1120 Route 73 Ste 300
Mount Laurel, NJ 08054-5113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34008738A | IN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1538891551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 ROUTE 73 STE 300",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080545113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9465 COUNSELORS ROW STE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462403817",
"telephone_number": "800-442-8938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUZWICK",
"first_name": "SPENCER",
"middle_name": "RODD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-28",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34008738A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
- Luxottica of America Inc. (Oakley B172)
- Luxottica of America Inc. (Lenscrafters #651)
- Luxottica Retail North America Inc (Lenscrafters #00330)
- Luxury Pointe Home Care
- Luxxe Hair Company LLC
- LW Care LLC (Live Well Home Care LLC)
- Mark Joseph Lybik, MD
- Janet Lydecker, PHD
- Makayla Lydick, WHNP
- Michael Lydick, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.