Individual provider Active NPI

Malika Dionne McMeans Spruill, LCSW

  • Clinical Social Worker
  • Townsend, DE
National Provider Identifier
1811205909
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0001021 Issued in DE
Practice address
904 Vandyke Greenspring Rd
Townsend, DE 19734-9218
Phone
(302) 312-7072
Fax
(833) 303-0292
NPI assigned
Sep 22, 2010
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0001021 DE Primary

Addresses

Primary practice location

904 Vandyke Greenspring Rd
Townsend, DE 19734-9218

Mailing address

917 Sweet Hollow Way
Middletown, DE 19709-8652
Phone (302) 377-5883

Other identifiers 2

IdentifierTypeStateIssuer
100059400035MedicaidDE
620958001OtherMEDICARE DCN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

917 Sweet Hollow Way
Middletown, DE 19709-8652

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q1-0001021DEMDClinical Social Worker

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.

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1811205909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 SWEET HOLLOW WAY",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197098652",
            "telephone_number": "302-377-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 VANDYKE GREENSPRING RD",
            "city": "TOWNSEND",
            "state": "DE",
            "postal_code": "197349218",
            "telephone_number": "302-312-7072",
            "fax_number": "833-303-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMEANS SPRUILL",
        "first_name": "MALIKA",
        "middle_name": "DIONNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-22",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100059400035",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DCN",
            "identifier": "620958001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Townsend, DE

Sources for this page

Verify at the official NPI Registry.