Active NPI
Anna Spencer, LSW
- Social Worker
- Champaign, IL
National Provider Identifier
1598523805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.11324
- Practice address
- 819 Bloomington Rd
Champaign, IL 61820-2101 - Phone
- (217) 356-1558
- NPI assigned
- Mar 11, 2024
- Last updated
- Mar 11, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.11324 | IL | Primary |
Addresses
Primary practice location
819 Bloomington Rd
Champaign, IL 61820-2101
Mailing address
310 N James St Apt 1
Champaign, IL 61821-2664
Phone (217) 318-1709
Other practice location 1
424 E Wabash Ave
Rantoul, IL 61866-3013
Phone (217) 356-1558
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 |
|---|---|---|---|
| 150.11324 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promise Healthcare | Current | Accepting new patients |
Locations
819 Bloomington Rd
Champaign, IL 61820
Phone (217) 356-1558
Interoperability endpoints
- anna.spencer.p11@direct.fhn-fqhc.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Champaign, IL
- NPI 1093571663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1598523805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 N JAMES ST APT 1",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618212664",
"telephone_number": "217-318-1709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 BLOOMINGTON RD",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618202101",
"telephone_number": "217-356-1558"
}
],
"practiceLocations": [
{
"address_1": "424 E Wabash Ave",
"address_purpose": "LOCATION",
"city": "Rantoul",
"state": "IL",
"postal_code": "618663013",
"country_code": "US",
"telephone_number": "217-356-1558",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPENCER",
"first_name": "ANNA",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-11",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.11324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.