Kenya Spencer, LICSW
Individual provider Active NPI Clinical Social Worker · Smiths Station, AL
NPI 1891476446 · NPPES record last updated Jul 28, 2023
Key facts
- NPI
- 1891476446
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 5389C (AL)
- Practice address
- 932 Sun Wood Dr
Smiths Station, AL 36877-4858 - Phone
- (334) 408-7196
- NPI assigned
- Jul 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
701 4TH PL
Phenix City, AL 36869-6913
Phone (334) 408-8536
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231017003127 | AL | Practitioner - Clinical Social Worker | 8224483805 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Path Counseling & Consulting Agency, LLC | Single Specialty | Current |
Accepting new patients |
| Phenix Speech and Language Services | Single Specialty | Past |
Accepting new patients |
Locations
701 4th Pl
Phenix City, AL 36869
Phone (334) 408-8536
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 5389C | AL | Yes |
Addresses
Primary practice location
932 Sun Wood Dr
Smiths Station, AL 36877-4858
Mailing address
932 Sun Wood Dr
Smiths Station, AL 36877-4858
Phone (334) 408-7196
Other names
- Kenya Giles
Other providers in Smiths Station, AL
- Angela D Ryan
- Smiths Plaza Drugs Inc
- Smiths Station and Phenix City Psychological
- Smiths Station Fire and Rescue
- Smiths Station Pharmacy LLC
- Stonecreek Acquisitions, LLC
- Nursie Mae Thomas
- Trenton Watson
- Kenya Denise Whitehorn
- Linda Williams
All providers in Smiths Station, AL · Clinical Social Worker in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.