Splady Therapy Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

19887 Issued in MN

Legal business name

SPLADY THERAPY SERVICES, LLC

Practice address

205 W 2ND St Ste 421
Duluth, MN 55802-1920

Phone

(218) 302-5440

Fax

(218) 302-5442

NPI assigned

Jun 23, 2017

Organization subpart

No

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

Authorized official

Name

Anna Splady, MSW, LICSWNPI 1609109255

Title

Psychotherapist

Phone

(218) 302-5440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna Larue Splady, LICSW

  • Clinical Social Worker
  • Duluth, MN
  • NPI 1609109255
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1992225668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W 2ND ST STE 421",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021920",
            "telephone_number": "218-302-5440",
            "fax_number": "218-302-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W 2ND ST STE 421",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021920",
            "telephone_number": "218-302-5440",
            "fax_number": "218-302-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPLADY THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-23",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "SPLADY",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "218-302-5440",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "19887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyasha L.M. Spears, MD
• Jeffrey Robert Speer, MD
• Joseph Frank Spencer, MD
• Michael Alan Sperl, DO
• Dannillya Sperry
• Anna Larue Splady, LICSW
• Bria Dawn Spoden, OTR
• Allison Lynn Spoelhof, PA-C
• Gerard David Spoelhof, M.D.
• Cathleen Mary Spolarich, RN

• Clinical Social Worker in Duluth, MN
• Providers in Duluth, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.