Active NPI
Ann Bacon Spooner, LSW
- Social Worker
- Wayne, PA
National Provider Identifier
1649676933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW005863E
- Practice address
- 851 Box Hill LN
Wayne, PA 19087-2704 - Phone
- (215) 514-5226
- NPI assigned
- Nov 13, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | SW005863E | PA | Primary |
Addresses
Primary practice location
851 Box Hill LN
Wayne, PA 19087-2704
Mailing address
851 Box Hill LN
Wayne, PA 19087-2704
Phone (215) 514-5226
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 |
|---|---|---|---|
| SW005863E | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415836800000",
"number": "1649676933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 BOX HILL LN",
"city": "WAYNE",
"state": "PA",
"postal_code": "190872704",
"telephone_number": "215-514-5226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 BOX HILL LN",
"city": "WAYNE",
"state": "PA",
"postal_code": "190872704",
"telephone_number": "215-514-5226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPOONER",
"first_name": "ANN",
"middle_name": "BACON",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-13",
"last_updated": "2014-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW005863E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.