MR. SPENCER FIELDING BLALOCK (NPI# 1376867614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376867614 |
| Entity Type | Individual |
| Full Name | MR. SPENCER FIELDING BLALOCK |
| Credential | LCSW |
| Practice Address |
5178 Chapel Hill Rd Decatur MS 39327-9262 |
| Practice Telephone | 6016352695 |
| Practice Fax Number | 6016352695 |
| Mailing Telephone | 6016352695 |
| Mailing Fax Number | 6016352695 |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2010-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C5693 | MS | Behavioral Health & Social Service Providers |
| Street Address |
5178 CHAPEL HILL RD |
| City | DECATUR |
| State | MS |
| Zip Code | 39327-9262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730635087 | Elite Physical Therapy and Wellness, Inc. | Clinic/Center | 135 7th St, Decatur, MS 39327 | 2016-08-28 |
| 1073853107 | Morgan W Morris | Physical Therapy Assistant | 135 Seventh Street, Decatur, MS 39327 | 2013-02-27 |
| 1508078197 | Newton County Schools | Speech-Language Pathologist | 15305 Highway 15, Decatur, MS 39327 | 2007-05-04 |
| 1275752743 | Emily Boggan Thompson | Pharmacist | 95 West Broad Street, Decatur, MS 39327 | 2007-04-24 |
| 1528041639 | John C. Mutziger I | Family Medicine | 14884 Hwy 15, Decatur, MS 39327 | 2005-11-22 |
| 1578082251 | Brandi R Hurdle | Nurse Practitioner | 14884 Highway 15, Decatur, MS 39327 | 2017-09-14 |
| 1093262610 | Krystle Monk | Nurse Practitioner | 14884 Hwy 15, Decatur, MS 39327 | 2016-09-01 |
| 1770963134 | Leticia Seydel | Counselor | 92 South 6th Avenue, Decatur, MS 39327 | 2015-06-01 |
| 1982004859 | James Cary Bradshaw | Family Medicine | 14884 Highway 15, Decatur, MS 39327 | 2014-08-28 |
| 1033460878 | Laird Hospital, Inc. | Family Medicine | 14884 Highway 15, Decatur, MS 39327 | 2012-09-19 |
| Find all providers in zip 39327 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1750999710 | Torquesia Smith | Social Worker | 3904 N Druid Hills Rd Ste 243, Decatur, GA 30033-3105 | 2020-07-16 |
| 1760002836 | Renee Ann Hall-george | Social Worker | 235 E Ponce De Leon Ave Ste 227, Decatur, GA 30030-3412 | 2020-04-19 |
| 1831721067 | Shelly-anne Johnson | Social Worker | 2205 Green Forrest Dr, Decatur, GA 30032-7165 | 2020-02-05 |
| 1871130096 | Mark Loren Kiefer | Social Worker | 2719 Mount Olive Dr, Decatur, GA 30033-2928 | 2019-12-06 |
| 1639715782 | Nadine Coleen Oldham | Social Worker | 2785 Lawrenceville Hwy Ste 205, Decatur, GA 30033-2515 | 2019-11-25 |
| 1881235133 | Marybeth Ann Peters | Social Worker | 1457 Clairmont Rd, Decatur, GA 30033-5362 | 2019-10-07 |
| 1720635782 | Caitlin Virginia Rattigan | Social Worker | 245 E Trinity Pl Unit 1260, Decatur, GA 30030-3487 | 2019-08-23 |
| 1700448644 | Danna Lipton | Social Worker | 209a Swanton Way Ste 102, Decatur, GA 30030-3271 | 2019-07-01 |
| 1023673647 | Candace E Guthery | Social Worker | 16 Moulton St E, Decatur, AL 35601-2310 | 2019-05-08 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.