Dionne L Spooner, Licsw

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

DIONNE L SPOONER, LICSW

Practice address

10 3Rd Ave SW Ste 206
Minot, ND 58701-3893

Phone

(701) 721-8978

NPI assigned

Sep 6, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Dionne Lynn Spooner, LCSW

Title

Owner

Phone

(701) 721-8978

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1770132284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10430 COUNTY ROAD 15 W",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587039629",
            "telephone_number": "701-721-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 3RD AVE SW STE 206",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587013893",
            "telephone_number": "701-721-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIONNE L SPOONER, LICSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "SPOONER",
        "authorized_official_first_name": "DIONNE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-721-8978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1461742",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Dibra, MHS OTR/L
• Minda Dickens
• Analycia Dickerson, LMSW
• Kelly Courtney Dickinson, FNP-C
• Pavlin Emilov Dimitrov, PHARMD
• Discovery Therapeutic Services
• Cheyenne Dixon
• Brittni Dobowey
• Lori A Dockter, PA
• Molly Dockter

• Mental Health Clinic/Center (Including Community Mental Health Center) in Minot, ND
• Providers in Minot, ND by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.