Active NPI
Jessica L Spinner, LISW
- School Social Worker
- Kirtland, NM
National Provider Identifier
1609102227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 356980
- Practice address
- 550 County Road 6100
Kirtland, NM 87417-9317 - Phone
- (505) 598-5881
- Fax
- (505) 598-9712
- NPI assigned
- Nov 2, 2009
- Last updated
- Jan 22, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I-08455 | NM | |
| School Social Worker | 1041S0200X | 356980 | NM | Primary |
Addresses
Primary practice location
550 County Road 6100
Kirtland, NM 87417-9317
Mailing address
PO Box 1319
Shiprock, NM 87420-1319
Phone (505) 598-5881
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 |
|---|---|---|---|
| I-08455 | NM | MD | Clinical Social Worker |
| 356980 | NM | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Consolidated School District #22 | Past | Accepting new patients |
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.
-
- Local Education Agency (LEA)
- Shiprock, NM
- NPI 1487798567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390348800000",
"number": "1609102227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1319",
"city": "SHIPROCK",
"state": "NM",
"postal_code": "874201319",
"telephone_number": "505-598-5881",
"fax_number": "505-598-9712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 COUNTY ROAD 6100",
"city": "KIRTLAND",
"state": "NM",
"postal_code": "874179317",
"telephone_number": "505-598-5881",
"fax_number": "505-598-9712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPINNER",
"first_name": "JESSICA",
"middle_name": "L",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-02",
"last_updated": "2014-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I-08455",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NM",
"license": "356980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kirtland, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.