Active NPI
Diana L Spurlock, MSW, LCSW, LISW
- Clinical Social Worker
- Prescott, AZ
National Provider Identifier
1689612855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW 4157
- Practice address
- 500 N US Highway 89
Prescott, AZ 86313-5001 - Phone
- (800) 949-1005
- Fax
- (928) 776-6125
- NPI assigned
- Jun 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW 4157 | AZ | Primary |
| Clinical Social Worker | 1041C0700X | LISW I4257 | NM |
Addresses
Primary practice location
500 N US Highway 89
Prescott, AZ 86313-5001
Mailing address
1050 S 16TH PL
Cottonwood, AZ 86326-6993
Phone (928) 649-1802
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 |
|---|---|---|---|
| LCSW 4157 | AZ | MD | Clinical Social Worker |
| LISW I4257 | NM | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1689612855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 S 16TH PL",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863266993",
"telephone_number": "928-649-1802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N US HIGHWAY 89",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863135001",
"telephone_number": "800-949-1005",
"fax_number": "928-776-6125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPURLOCK",
"first_name": "DIANA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "MSW, LCSW, LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW 4157",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "LISW I4257",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.