Individual provider Active NPI

Spencer Hammelman, LCSW

  • Mental Health Counselor
  • Holiday, FL
National Provider Identifier
1972952018
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW15702 Issued in FL
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

Updated by the provider on Oct 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100923700MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190212000616 FL Practitioner - Clinical Social Worker 3274871546 Reassigns benefits to 2 organizations

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
Mana Health Partners PAGroup PAC ID 3971952813, 102 clinicians

Practice addresses (Care Compare)

Orlando, FL 32804
Phone (732) 552-8922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW15702FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mana Health Partners PA CurrentSince Apr 24, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Jul 31, 2024 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.

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

Verify at the official NPI Registry.