Jessica Teal Spooner

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

M-11488 Issued in NM

Practice address

1805 Carlisle Blvd NE
Albuquerque, NM 87110-4905

Phone

(505) 842-9911

NPI assigned

Apr 15, 2021

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

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthy Families of Albuquerque LLCGroup PAC ID 0840474391, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healthy Families of Albuquerque LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1568790582

  Clinical

  Medicare reassignment Care Compare group NPD
• Nova Therapy LLC

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1669321261
  Medicare reassignment NPD Authorized official
• Rise Integrated Health LLC

  • Nurse Practitioner
  • Albuquerque, NM
  • NPI 1043161474
  NPD (past)

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1659952232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 CARLISLE BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104905",
            "telephone_number": "505-720-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 CARLISLE BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104905",
            "telephone_number": "505-842-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOONER",
        "first_name": "JESSICA",
        "middle_name": "TEAL",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "M-11488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Ann Spiro, M.M., M.S., CF-SLP
• Edward Joseph Spitz, M.D
• Carol Miriam Spizman, MOTR/L
• Spizzerinctum Health Centre PC
• Ashley Spoltore, BA
• Sharon H. Sprague, CNS
• Kimberly Sprauer
• Darby Spring-Butler, SLP
• Frank Spring, PH.D.
• Rebecca Spring, PNP

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.