Cullen Mansfield Sprague, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CO10547 Issued in NC

Practice address

70 Woodfin PL
Asheville, NC 28801-2463

Phone

(773) 680-4504

NPI assigned

Aug 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Howard Brown Health Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1306048632
  NPD (past)
• Howard Brown Health Center

  • Health Educator
  • Chicago, IL
  • NPI 1811824121
  NPD (past)

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1619169372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 NORTH ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288011155",
            "telephone_number": "773-680-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 WOODFIN PL",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012463",
            "telephone_number": "773-680-4504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4025 N Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606132010",
            "country_code": "US",
            "telephone_number": "773-388-1600",
            "fax_number": "773-388-8936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRAGUE",
        "first_name": "CULLEN",
        "middle_name": "MANSFIELD",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-15",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "CO10547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "149-012229",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leyda C Spiro, LCMHCA
• Amy L Spivey, DPT
• James David Spivey, MD
• Sara Lynne Spivey
• Janet Spletzer, OTR/L
• Kat Parker Sprague, MHSPA-C
• Lucretia Spriggs, LAT, ATC
• Amanda Rae Spring, LCSW
• Jacqueline Anne Spring, LCMHC
• Dale Springer Jr.

• Clinical Social Worker in Asheville, NC
• Providers in Asheville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.