Active NPI
David Allen Spencer, LCSW
- Clinical Social Worker
- Pueblo, CO
National Provider Identifier
1922073832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 984034
- Practice address
- 417 W 13TH St
Pueblo, CO 81003-2703 - Phone
- (719) 564-1723
- NPI assigned
- Feb 22, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 984034 | CO | Primary |
Addresses
Primary practice location
417 W 13TH St
Pueblo, CO 81003-2703
Mailing address
417 W 13TH St
Pueblo, CO 81003-2703
Phone (719) 544-0877
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461110400000",
"number": "1922073832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 W 13TH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032703",
"telephone_number": "719-544-0877",
"fax_number": "719-544-2033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 W 13TH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032703",
"telephone_number": "719-564-1723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "DAVID",
"middle_name": "ALLEN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2016-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "984034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
- Spectrum of Light Family Services, LLC
- Spectrum of Light Home Care, LLC
- Spectrum of Light Home Care, LLC
- Speech-Language and Assistive Technology Services LLC
- Darren Mitchell Speier, BS CAC II
- Jennifer Lynn Spencer, LICSW
- Melissa J Spidel
- Deborah J. Spiegel
- Betty Trammell Spinuzzi, N.P.
- Jodi Spinuzzi, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.