Individual provider Active NPI

Aubrey Leigh Spadin, LMSW

  • Social Worker
  • Mardela Springs, MD
National Provider Identifier
1750011680
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
28709 Issued in MD
Practice address
23704 Ocean Gtwy
Mardela Springs, MD 21837-2101
Phone
(410) 742-7400
NPI assigned
Jun 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 28709 MD Primary

Addresses

Primary practice location

23704 Ocean Gtwy
Mardela Springs, MD 21837-2101

Mailing address

902 Parker Rd Apt 2
Salisbury, MD 21804-9038
Phone (443) 736-6644

Other identifiers 1

IdentifierTypeStateIssuer
160008700MedicaidMD

Other names 1

  • Aubrey Ferruccio Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.maple-shade.org

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
28709MDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1750011680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 PARKER RD APT 2",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218049038",
            "telephone_number": "443-736-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23704 OCEAN GTWY",
            "city": "MARDELA SPRINGS",
            "state": "MD",
            "postal_code": "218372101",
            "telephone_number": "410-742-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADIN",
        "first_name": "AUBREY",
        "middle_name": "LEIGH",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MD",
            "license": "28709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160008700",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.maple-shade.org",
            "affiliation": "N",
            "address_1": "23704 Ocean Gtwy",
            "city": "Mardela Springs",
            "state": "MD",
            "country_code": "US",
            "postal_code": "218372101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AUBREY",
            "last_name": "FERRUCCIO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mardela Springs, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.