Active NPI
Spencer Hammelman, LCSW
- Mental Health Counselor
- Holiday, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- SW15702
- Practice address
- 3142 Darlington Rd
Holiday, FL 34691 - Phone
- (727) 943-4840
- Fax
- (727) 943-4845
- NPI assigned
- Jun 9, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | SW15702 | FL | Primary |
| Clinical Social Worker | 1041C0700X | SW15702 | FL |
Addresses
Primary practice location
3142 Darlington Rd
Holiday, FL 34691
Mailing address
3142 Darlington Rd
Holiday, FL 34691-3109
Phone (279) 434-8407
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100923700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Orlando, FL 32804
Phone (732) 552-8922
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW15702 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mana Health Partners PA | Current | Accepting new patients | |
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
| Gulf Coast Jewish Family and Community Services | Past | Accepting new patients | |
| Gulf Coast Jewish Family and Community Services, Inc. | Past | Accepting new patients | |
| Gulf Coast Jewish Family and Community Services, Inc. | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809
1317 Edgewater Dr
Orlando, FL 32804
Phone (877) 436-8527
1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336
338 Whitesville Rd
Ste 103
Jackson, NJ 08527
Networks
- Freedom Health HMO Network
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Sarasota, FL
- NPI 1437925047
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
-
- Community/Behavioral Health Agency
- Holiday, FL
- NPI 1245440874
-
- Community/Behavioral Health Agency
- Holiday, FL
- NPI 1346459468
-
- Community/Behavioral Health Agency
- Clearwater, FL
- NPI 1740483833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1972952018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3142 DARLINGTON RD",
"city": "HOLIDAY",
"state": "FL",
"postal_code": "346913109",
"telephone_number": "279-434-8407",
"fax_number": "727-943-4845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3142 DARLINGTON RD",
"city": "HOLIDAY",
"state": "FL",
"postal_code": "34691",
"telephone_number": "727-943-4840",
"fax_number": "727-943-4845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMELMAN",
"first_name": "SPENCER",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-09",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "SW15702",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW15702",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100923700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holiday, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.