Jill Spencer, LSCSW
Individual provider Active NPI Clinical Social Worker · Parsons, KS
NPI 1770980294 · NPPES record last updated Apr 1, 2022
Key facts
- NPI
- 1770980294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 5240 (KS)
- Practice address
- 2100 Commerce Dr
Parsons, KS 67357-4951 - Phone
- (620) 717-4450
- Fax
- (620) 717-4540
- NPI assigned
- Nov 26, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201007003244 | KS | Practitioner - Clinical Social Worker | 3779902945 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of Southeast Kansas, Inc | Current |
Accepting new patients | |
| Community Health Center of Southeast Kansas Inc | Current | Accepting new patients | |
| Community Health Center of Southeast Kansas Inc | Current |
Accepting new patients |
Locations
1017 E Market St
Lacygne, KS 66040
Phone (913) 757-4575
2100 Commerce Dr
Parsons, KS 67357
Phone (620) 421-2159
3011 N Michigan St
Pittsburg, KS 66762
Phone (620) 231-1960
Interoperability endpoints
- jill.spencer@chcsek.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5240 | KS | Yes |
Addresses
Primary practice location
2100 Commerce Dr
Parsons, KS 67357-4951
Mailing address
3011 N Michigan St
Pittsburg, KS 66762-2546
Phone (620) 231-9873
Other providers in Parsons, KS
- Southeast Kansas Independent Living Resource Center, Inc.
- Southeast Kansas Orthopedic Clinic
- Southeast Kansas Rehabilitation Services LLC
- Southeast Respite Services, Inc.
- Shawn W. Southwick
- Stover Chiropractic LLC
- Jeremy J Stover
- Successful Dreams Support Services
- Heather Marie Suddock
- Penny L Suddock
All providers in Parsons, KS · Clinical Social Worker in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.