Samuel W. Sprankle, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34005224A Issued in IN

Practice address

308 Medic Way
Greencastle, IN 46135-2296

Phone

(765) 653-2669

NPI assigned

Dec 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cummins Behavioral Health Systems, Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Avon, IN
  • NPI 1740232115
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1811053838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5664 MASTEN RD",
            "city": "COATESVILLE",
            "state": "IN",
            "postal_code": "461219762",
            "telephone_number": "317-850-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 MEDIC WAY",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461352296",
            "telephone_number": "765-653-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRANKLE",
        "first_name": "SAMUEL",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005224A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PROVIDER PIN",
            "identifier": "000000502311",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loretta Jean Smith, ED.S.
• Mark Alan Smith, D.D.S.
• William Dixon Smith
• Kendra Solana
• South Putnam Community School Corporation
• Larry Dale Squires, LCSW
• Virginia Kay St. John
• Catherine Steele
• Chelsea Ann Stephenson, FNP-C
• Benjamin R Stevens, DDS

• Clinical Social Worker in Greencastle, IN
• Providers in Greencastle, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.