Individual provider Active NPI

Spencer Legrande Lloyd, LCSW, MT-BC

  • Clinical Social Worker
  • Lehi, UT
National Provider Identifier
1720239924
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7971518-3501 Issued in UT
Practice address
2297 Pointe Meadow Loop
Lehi, UT 84043-4957
Phone
(801) 550-1362
NPI assigned
Oct 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X 08645 UT
Clinical Social Worker 1041C0700X 7971518-3501 UT Primary

Addresses

Primary practice location

2297 Pointe Meadow Loop
Lehi, UT 84043-4957

Mailing address

2297 Pointe Meadow Loop
Lehi, UT 84043-4957
Phone (801) 550-1362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20260430002587 UT Practitioner - Clinical Social Worker 4789151309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7971518-3501UTMDClinical Social Worker
08645UTMDMusic Therapist

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": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1720239924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2297 POINTE MEADOW LOOP",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434957",
            "telephone_number": "801-550-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2297 POINTE MEADOW LOOP",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434957",
            "telephone_number": "801-550-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLOYD",
        "first_name": "SPENCER",
        "middle_name": "LEGRANDE",
        "name_prefix": "Mr.",
        "credential": "LCSW, MT-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-06",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "UT",
            "license": "08645",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "7971518-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.