Active NPI
Devon Spencer
- Social Worker
- Seattle, WA
National Provider Identifier
1770050411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 2100 24TH Ave S Ste 260
Seattle, WA 98144-4644 - Phone
- (206) 795-6540
- Fax
- (206) 382-4967
- NPI assigned
- Oct 31, 2018
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
2100 24TH Ave S Ste 260
Seattle, WA 98144-4644
Mailing address
2100 24TH Ave S Ste 260
Seattle, WA 98144-4644
Phone (206) 795-6540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1026117 | Medicaid | WA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Young Mens Christian Association of Greater Seattle | 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 and National Provider Directory roles.
-
- Health Educator
- Seattle, WA
- NPI 1962526046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543881600000",
"number": "1770050411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 24TH AVE S STE 260",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981444644",
"telephone_number": "206-795-6540",
"fax_number": "206-382-4967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 24TH AVE S STE 260",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981444644",
"telephone_number": "206-795-6540",
"fax_number": "206-382-4967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "DEVON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-31",
"last_updated": "2018-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1026117",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.