Individual provider Active NPI

Larissa Larke Spell-Berger, MSW

  • Clinical Social Worker
  • Lincolnton, NC
National Provider Identifier
1861360554
Registry record updated Oct 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P018316 Issued in NC
Practice address
2207 Heavner Rd
Lincolnton, NC 28092-8553
Phone
(980) 253-6835
NPI assigned
Oct 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2025

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 P018316 NC Primary

Addresses

Primary practice location

2207 Heavner Rd
Lincolnton, NC 28092-8553

Mailing address

2207 Heavner Rd
Lincolnton, NC 28092-8553
Phone (980) 253-6835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P018316NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1761350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761350400000",
    "number": "1861360554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 HEAVNER RD",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280928553",
            "telephone_number": "980-253-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 HEAVNER RD",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280928553",
            "telephone_number": "980-253-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELL-BERGER",
        "first_name": "LARISSA",
        "middle_name": "LARKE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-25",
        "last_updated": "2025-10-25",
        "certification_date": "2025-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P018316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2025; 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.