Desirae Spignor

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW108480 Issued in CA

Practice address

500 Jefferson Blvd Ste B180
West Sacramento, CA 95605-2394

Phone

(916) 403-2900

NPI assigned

Sep 17, 2014

Last updated

Jul 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ole Health

  • Federally Qualified Health Center (FQHC)
  • Napa, CA
  • NPI 1700976503
  Medicare reassignment NPD
• The Communitys Investment Organization

  • Clinical Social Worker
  • Sacramento, CA
  • NPI 1972471324
  NPD Authorized official
• Ole Health

  • Federally Qualified Health Center (FQHC)
  • Fairfield, CA
  • NPI 1245043165
  NPD
• Ole Health

  • Federally Qualified Health Center (FQHC)
  • Calistoga, CA
  • NPI 1760660831
  NPD

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1831591296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 JEFFERSON BLVD STE B180",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956052394",
            "telephone_number": "916-403-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 JEFFERSON BLVD STE B180",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956052394",
            "telephone_number": "916-403-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIGNOR",
        "first_name": "DESIRAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW108480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Somerset Nursing Center, Inc
• Evalin Sosa
• Yanely Sotelo
• Calvin Spellman
• Clinton Spellman
• Tyler D Spring, FNP
• Jennette Lynn Stancy, RN
• Molly Ann Stanley, LMFT
• Alaina Star
• Stella Solidarity Recovery Services Inc.

• Clinical Social Worker in West Sacramento, CA
• Providers in West Sacramento, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.