Active NPI
Kay Harmon Spence, LCSW
- Clinical Social Worker
- Jonesboro, AR
National Provider Identifier
1760438071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2031C
- Practice address
- 4508 Stadium Blvd
Jonesboro, AR 72404-9675 - Phone
- (870) 933-6886
- Fax
- (870) 933-9395
- NPI assigned
- May 26, 2006
- Last updated
- Jan 17, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2031C | AR | Primary |
Addresses
Primary practice location
4508 Stadium Blvd
Jonesboro, AR 72404-9675
Mailing address
1041 Highland Cir
Ste 36
Mountain Home, AR 72653-3267
Phone (870) 425-1041
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2031C | AR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozark Counseling Services Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mountain Home, AR
- NPI 1043266315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200528000000",
"number": "1760438071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 HIGHLAND CIR",
"address_2": "STE 36",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726533267",
"telephone_number": "870-425-1041",
"fax_number": "870-425-1049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4508 STADIUM BLVD",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724049675",
"telephone_number": "870-933-6886",
"fax_number": "870-933-9395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCE",
"first_name": "KAY",
"middle_name": "HARMON",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2008-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "2031C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.