Sharisse J Spencer, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801089431 Issued in MI

Practice address

105 E Oak St Ste 102
Mansfield, TX 76063-7713

Phone

(469) 945-8114

Fax

(682) 238-4017

NPI assigned

Jul 28, 2013

Last updated

Oct 5, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gentle Love Visiting Physicians Group LLC

  • General Practice Physician
  • Detroit, MI
  • NPI 1912106311
  NPD (past)
• Innovative Therapeutic Solutions, LLC

  • Community/Behavioral Health Agency
  • Detroit, MI
  • NPI 1093987240
  NPD (past)

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

{
    "created_epoch": "1374969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1699117911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15900 W 10 MILE RD STE 211",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752079",
            "telephone_number": "469-945-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E OAK ST STE 102",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637713",
            "telephone_number": "469-945-8114",
            "fax_number": "682-238-4017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15900 W 10 Mile Rd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480752079",
            "country_code": "US",
            "telephone_number": "469-945-8114",
            "fax_number": "682-238-4017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "SHARISSE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-28",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "109985",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Spaide, RDN
• Kimberly Spaulding
• Specialeyes Optical, LLC
• Spectrum Behavioral Care PLLC
• Spekks Healthcare Services PLLC (Spekks Healthcare Services)
• Springhaven Home Health LLC
• Springway Healthcare LLC
• Scott Stafford
• Brianna Stallings, FNP-C
• Andrew Bertrand Standerwick, MD

• Clinical Social Worker in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.