Individual provider Active NPI

Cairenn Spooner, LCSW-R

  • Social Worker
  • Warrensburg, NY
National Provider Identifier
1881601193
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
067673 Issued in NY
Practice address
3847 Main St Unit 2
Warrensburg, NY 12885-1441
Phone
(518) 300-3187
NPI assigned
Aug 1, 2006
Last updated
Jun 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 067673 NY Primary

Addresses

Primary practice location

3847 Main St Unit 2
Warrensburg, NY 12885-1441

Mailing address

3847 Main St Unit 2
Warrensburg, NY 12885-1441
Phone (518) 300-3187

Other identifiers 1

IdentifierTypeStateIssuer
00630039MedicaidNY

Other names 1

  • Cairenn Young Former name

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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
067673NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Springfield Counseling, PC Past Accepting new patients

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1881601193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3847 MAIN ST UNIT 2",
            "city": "WARRENSBURG",
            "state": "NY",
            "postal_code": "128851441",
            "telephone_number": "518-300-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3847 MAIN ST UNIT 2",
            "city": "WARRENSBURG",
            "state": "NY",
            "postal_code": "128851441",
            "telephone_number": "518-300-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOONER",
        "first_name": "CAIRENN",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "067673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00630039",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAIRENN",
            "last_name": "YOUNG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warrensburg, NY

Sources for this page

Verify at the official NPI Registry.