Individual provider Active NPI

Kristen Spencer, LICSW

  • Clinical Social Worker
  • Lincoln, RI
National Provider Identifier
1689040263
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW02427 Issued in RI
Practice address
25 Blackstone Valley PL Ste 302
Lincoln, RI 02865-1163
Phone
(401) 475-0653
Fax
(401) 475-0729
NPI assigned
Aug 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW02427 RI Primary

Addresses

Primary practice location

25 Blackstone Valley PL Ste 302
Lincoln, RI 02865-1163

Mailing address

25 Blackstone Valley PL Ste 302
Lincoln, RI 02865-1163
Phone (401) 654-0656

Other names 1

  • Kristen Spencer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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

Enrollment IDStateProvider typePAC IDDetails
I20230216000483 RI Practitioner - Clinical Social Worker 1052746419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1992 Old Louisquisset Pike
Lincoln, RI 02865-4590
Phone (401) 475-0653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW02427RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Social Sparks Inc Clinical CurrentSince Dec 14, 2022 Accepting new patients

Locations

1992 Old Louisquisset Pike
Lincoln, RI 02865
Phone 4014750653 ext. 0

35 South County Commons Way
Ste D11
Wakefield, RI 02879
Phone (401) 473-0997

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1689040263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BLACKSTONE VALLEY PL STE 302",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651163",
            "telephone_number": "401-654-0656",
            "fax_number": "401-475-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BLACKSTONE VALLEY PL STE 302",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651163",
            "telephone_number": "401-475-0653",
            "fax_number": "401-475-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "KRISTEN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "SPENCER",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, RI

Sources for this page

Verify at the official NPI Registry.