Active NPI
Glenn Edward Sprunger, LSW
- Social Worker
- Ashland, OH
National Provider Identifier
1881197333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.1101541
- Practice address
- 1590 Crestview Dr
Ashland, OH 44805-3560 - Phone
- (419) 929-0970
- NPI assigned
- Mar 12, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1101541 | OH | Primary |
Addresses
Primary practice location
1590 Crestview Dr
Ashland, OH 44805-3560
Mailing address
1590 Crestview Dr
Ashland, OH 44805-3560
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
| License | State | Type | Specialty |
|---|---|---|---|
| S.1101541 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christian Children'S Home of Ohio | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/cchoo/r4/
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 and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Wooster, OH
- NPI 1588694590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520812800000",
"number": "1881197333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1590 CRESTVIEW DR",
"city": "ASHLAND",
"state": "OH",
"postal_code": "448053560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1590 CRESTVIEW DR",
"city": "ASHLAND",
"state": "OH",
"postal_code": "448053560",
"telephone_number": "419-929-0970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRUNGER",
"first_name": "GLENN",
"middle_name": "EDWARD",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-12",
"last_updated": "2018-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1101541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.