Individual provider Active NPI

Deborah Spicer, LCSW CADC

  • Clinical Social Worker
  • Cynthiana, KY
National Provider Identifier
1720163165
Registry record updated Apr 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1647 Issued in KY
Practice address
111 N Main St
Cynthiana, KY 41031-1206
Phone
(859) 235-0800
Fax
(859) 235-0800
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2013

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 1647 KY Primary

Addresses

Primary practice location

111 N Main St
Cynthiana, KY 41031-1206

Mailing address

111 N Main St
Cynthiana, KY 41031-1206
Phone (859) 235-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20050330000239 KY Practitioner - Clinical Social Worker 9638125065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

111 N Main St
Cynthiana, KY 41031-1206
Phone (859) 235-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1647KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Directions II LLC CurrentSince Jun 29, 2005 Accepting new patients

Locations

116 E Pike St
Cynthiana, KY 41031
Phone (859) 234-8593

111 N Main St
Cynthiana, KY 41031
Phone (859) 235-0800

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365897600000",
    "number": "1720163165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N MAIN ST",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410311206",
            "telephone_number": "859-235-0800",
            "fax_number": "859-235-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N MAIN ST",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410311206",
            "telephone_number": "859-235-0800",
            "fax_number": "859-235-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPICER",
        "first_name": "DEBORAH",
        "credential": "LCSW CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2013-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cynthiana, KY

Sources for this page

Verify at the official NPI Registry.