MR. SPENCER L ANDERSON (NPI# 1811463474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811463474 |
Entity Type | Individual |
Full Name | MR. SPENCER L ANDERSON |
Credential | LICSW |
Practice Address |
30 Lou Courtney Dr Randolph MA 02368-4802 |
Mailing Address |
749 Plymouth St Middleboro MA 02346-3005 |
Practice Telephone | 7819616256 |
Mailing Telephone | 5089234789 |
Enumeration Date | 2018-10-22 |
Last Update Date | 2018-10-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041S0200X |
Social Worker Specialization: School |
114253-SW-LICSW | MA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699261966 | Spencer Elizabeth Anderson | Dietitian, Registered | 1211 Medical Center Drive, 607 Medical Arts Building, Nashville, VA 37232-2345 | 2018-07-10 |
1700389798 | Spencer Charles Anderson | Physician Assistant | 2500 Canterbury Dr Ste 112, Hays, KS 67601-2258 | 2018-03-15 |
1982139176 | Spencer Robert Anderson | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 2200, Dept. Orthopaedic Surgery, Division of Plastic Surgery, Dayton, OH 45409 | 2017-04-25 |
1407270135 | Spencer James Anderson | Dentist | 1411 E 31st St, Oakland, CA 94602-1018 | 2014-02-17 |
1366766651 | Spencer Anderson | Counselor | 155 Boardwalk Dr, #444, Fort Collins, CO 80525-3040 | 2010-03-16 |
1235392333 | Spencer Anderson | Counselor | 301 E Carmel Dr, Carmel, IN 46032-2888 | 2008-07-08 |
1720252158 | Spencer Reid Anderson | Emergency Medicine | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-04-16 |
1316016520 | Spencer H. Anderson | Radiology | 4853 Galaxy Pkwy, Suite I, Cleveland, OH 44128-5973 | 2006-11-06 |
Street Address |
30 LOU COURTNEY DR |
City | RANDOLPH |
State | MA |
Zip Code | 02368-4802 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
1992291124 | Ashley Lauren Davis | Licensed Practical Nurse | 11 Mcdonnell Drive, Randolph, MA 02368 | 2018-07-11 |
1023503943 | Jean Rony Mesalon | Licensed Practical Nurse | 8 Reynolds Ave, Randolph, MA 02368 | 2018-06-22 |
1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
1437508629 | Julie A Panchamsingh-barakat | Social Worker | 400-, 402 N Main St, Randolph, MA 02368 | 2016-06-08 |
1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
1194185868 | Heavenly Home Care | Home Health | 9 William Morrison Drive, Randolph, MA 02368 | 2016-02-24 |
Find all providers in zip 02368 |
Taxonomy Code | 1041S0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780156786 | Eileen Clougherty Vlieger | Social Worker | 70 Memorial Pkwy, Randolph, MA 02368-4506 | 2019-01-02 |
1942783006 | Amy Hardy | Social Worker | 225 High St, Randolph, MA 02368-1836 | 2018-09-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619578911 | Samantha Bridge | Social Worker | 26 Regina Rd, Lynn, MA 01904-1019 | 2020-11-03 |
1922623867 | Margaret Ann Mulcahy | Social Worker | 32 Hidden Cv, Plymouth, MA 02360-6629 | 2020-06-16 |
1558997023 | Elaine Garcia | Social Worker | 525 Essex St Apt 205, Lawrence, MA 01840-1241 | 2020-03-17 |
1821643743 | Linda Toussaint | Social Worker | 34 Nye St, Springfield, MA 01104-2312 | 2019-08-07 |
1922567031 | Valerie Patricia Moriceau | Social Worker | 111 Robbins Rd, Walpole, MA 02081-1940 | 2019-03-18 |
1538623103 | Sarah K Hiebert | Social Worker | 50 Beechcroft St, Brighton, MA 02135-2519 | 2019-01-28 |
1225502818 | Anna Greenberg | Social Worker | Framingham High School, 115 A St., Framingham, MA 01701 | 2019-01-16 |
1265905731 | Catherine Mary Horkan | Social Worker | 50 Lanark Rd, Malden, MA 02148-1609 | 2019-01-08 |
1689147480 | Carol Connery | Social Worker | 837 Longmeadow St, Longmeadow, MA 01106-2218 | 2019-01-04 |
1982176111 | Nicole Maire Shepardson | Social Worker | 50 Bushey Rd, Pittsfield, MA 01201-4405 | 2018-12-28 |
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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.