Individual provider Active NPI

Barbara Gail Spencer, MSW CSW

  • Clinical Social Worker
  • Shelby Township, MI
National Provider Identifier
1720146608
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801017194 Issued in MI
Practice address
45445 Mound
Suite 109
Shelby Township, MI 48317
Phone
(586) 254-5660
Fax
(586) 254-0622
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6801017194 MI Primary

Addresses

Primary practice location

45445 Mound
Suite 109
Shelby Township, MI 48317

Mailing address

36975 Utica Road
Suite 103
Clinton Township, MI 48036
Phone (586) 226-3440

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

LicenseStateTypeSpecialty
6801017194MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Macomb Family Services, Inc Clinical Past Accepting new patients
Macomb Family Services, Inc. Clinical PastSince Jan 1, 1995 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/macombfamily/r4/

Organizations & group practices 2

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720146608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36975 UTICA ROAD",
            "address_2": "SUITE 103",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48036",
            "telephone_number": "586-226-3440",
            "fax_number": "586-226-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45445 MOUND",
            "address_2": "SUITE 109",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "48317",
            "telephone_number": "586-254-5660",
            "fax_number": "586-254-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "BARBARA",
        "middle_name": "GAIL",
        "credential": "MSW CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801017194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.