Jacqueline Eleanor Spence, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

067377 Issued in NY

Practice address

347 Lincoln PL
4C
Brooklyn, NY 11238-5760

Phone

(347) 406-7589

NPI assigned

Jun 28, 2012

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": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1609130285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 LINCOLN PL",
            "address_2": "4C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112385760",
            "telephone_number": "347-406-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 LINCOLN PL",
            "address_2": "4C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112385760",
            "telephone_number": "347-406-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "JACQUELINE",
        "middle_name": "ELEANOR",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "067377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Spellman, LPN
• Kedian Spence - Brown
• Beverly Spence, LPN
• Cecile Spence, FNP
• Chante Spence
• Judy Cousins Spence, OTR/L
• Racquel Spence
• Sophia Spence, P.A.
• Steven Christopher Spence, RPA-C
• Tracey Spence

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.