Individual provider Active NPI

Sandra Emma Spoor, LICSW

  • Social Worker
  • New Bedford, MA
National Provider Identifier
1760221212
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1142521 Issued in MA
Practice address
179 Eugenia St Apt 2E
New Bedford, MA 02745-5289
Phone
(508) 272-1555
Fax
(774) 213-3479
NPI assigned
May 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1142521 MA Primary

Addresses

Primary practice location

179 Eugenia St Apt 2E
New Bedford, MA 02745-5289

Mailing address

179 Eugenia St Apt 2E
New Bedford, MA 02745-5289
Phone (508) 272-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20260202003410 MA Practitioner - Clinical Social Worker 6103304977 Reassigns benefits to 1 organization
Practice locations: Dartmouth, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

116 Austin St Apt
Suite 2
New Bedford, MA 02740-6919

72 Kilburn St
New Bedford, MA 02740-7321

91 Rockland St
Apt 1
Dartmouth, MA 02748-3208
Phone (508) 272-1555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1142521MAMDSocial Worker

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": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1760221212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 EUGENIA ST APT 2E",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027455289",
            "telephone_number": "508-272-1555",
            "fax_number": "774-213-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 EUGENIA ST APT 2E",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027455289",
            "telephone_number": "508-272-1555",
            "fax_number": "774-213-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOOR",
        "first_name": "SANDRA",
        "middle_name": "EMMA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-23",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "1142521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.