Heather A Spencer, LSCSW, LMAC, CHT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5011 Issued in KS

Practice address

9415 E Harry St Ste 208
Wichita, KS 67207-5076

Phone

(316) 573-7343

Fax

(316) 221-7159

NPI assigned

Jan 20, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Ict Hope Therapy Center, LLC

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1710644422
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1710282801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 E HARRY ST STE 503",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075082",
            "telephone_number": "316-573-7343",
            "fax_number": "316-221-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 E HARRY ST STE 208",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075076",
            "telephone_number": "316-573-7343",
            "fax_number": "316-221-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "HEATHER",
        "middle_name": "A",
        "credential": "LSCSW, LMAC, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-20",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "5011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201355360A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200689770C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Specs Optical
• Specs Wichita
• Spectrum Family Medical Clinic, PA
• Speech Swallowing and Voice Center PA
• Alyssa L Spencer, LMSW
• Joseph B Spencer, PT
• Keri Dawn Spencer, NP-C
• Kyle Spencer, KCPM
• Shauna L Spencer, RN
• Tammy Spencer, CNA/MSW

• Clinical Social Worker in Wichita, KS
• Providers in Wichita, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.