Nicole Malnar Spence, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009249 Issued in NC

Practice address

202 S 5TH Ave # C3
Wilmington, NC 28401-5494

Phone

(435) 773-3968

NPI assigned

Apr 10, 2013

Last updated

Apr 27, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1750724662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S 5TH AVE # C3",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284015494",
            "telephone_number": "435-773-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S 5TH AVE # C3",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284015494",
            "telephone_number": "435-773-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "NICOLE",
        "middle_name": "MALNAR",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Speech Waves, PLLC
• Serenity Pamela Speight, CADC-I
• Renee Steckley Speir, RPA-C
• Jordan Clifton Spellman, MD
• Mallory Jo Spence, MSW, LCASA, LCSWA
• Amber Lorraine Spencer
• Eric N. Spencer, LPC
• Joshua Andrew Spencer, MD
• Miranda Elaine Spencer, LCMHC-A
• Sean Matthew Spencer, MA

• Clinical Social Worker in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.