DALLAS R SPENCER


Address: 44 N Main St, Malad City, ID 83252-1200
Phone: 2087662389

DALLAS R SPENCER (NPI# 1083913164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083913164
Entity Type Individual
Full Name DALLAS R SPENCER
Credential LMSW
Practice Address 44 N Main St
Malad City
ID 83252-1200
Practice Telephone 2087662389
Mailing Telephone 2087662389
Enumeration Date 2011-03-15
Last Update Date 2011-03-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker LMSW - 31018 ID Behavioral Health & Social Service Providers

Office Location

Street Address 44 N MAIN ST
City MALAD CITY
State ID
Zip Code 83252-1200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730459397 A To Z Family Services Clinic/Center 44 N Main St, Malad City, ID 83252-1200 2012-01-12
1003113390 Kelly Steven Piersanti Counselor 44 N Main St, Malad City, ID 83252-1200 2011-02-22
1700036019 A To Z Family Services Community/Behavioral Health 44 N Main St, Malad City, ID 83252-1200 2008-09-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003179706 David Teeples Family Medicine 220 Bannock Street, Malad, ID 83252 2012-06-19
1396046835 A To Z Family Services, Inc. Social Worker 44 N Main, Malad, ID 83252 2010-11-16
1942855879 Tylee Skinner Behavior Technician 611 N 500 W, Malad City, ID 83252-1021 2019-08-07
1982738662 Southeastern Idaho Medical Clinics Family Medicine 230 W 200 N, Malad City, ID 83252-1109 2007-03-15
1861934473 Bcs Healthcare, LLC Nurse Practitioner 300 N 100 W, Malad City, ID 83252-1144 2016-11-14
1689005845 Rosemary Wells Counselor 444 N Main St, Malad City, ID 83252-1156 2013-12-12
1346477668 Ronald Eugene Perry Chiropractor 60 N Main St, Malad City, ID 83252-1200 2009-06-12
1780858175 Malad Medical Supply LLC Durable Medical Equipment & Medical Supplies 136 N 70 E, Malad City, ID 83252-1208 2008-04-16
1760805543 A To Z Counseling Centers LLC Clinic/Center 1 E 100 N, Malad City, ID 83252-1230 2014-01-29
1609826270 Oneida County Hospital General Acute Care Hospital 150 N 200 W, Malad, ID 83252-1239 2006-05-12
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

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NPI Name Taxonomy Address Enumeration
1821697749 Ashley Weiss Social Worker 973 S Brook Trout Way, Meridian, ID 83642-7745 2020-10-21
1255938205 Samantha Davis Social Worker 564 N Flauson Ave, Kuna, ID 83634-1279 2020-10-02
1518574722 Donna S. Morales Social Worker 479 Madison St, Twin Falls, ID 83301-4722 2020-09-30
1962019513 Jessica Rose Crocker-oswald Social Worker 13 E Ada Ave, Meridian, ID 83642-2725 2020-09-28
1568078681 Tammy Law Social Worker 314 Badiola St # T, Caldwell, ID 83605-4389 2020-09-23
1831704204 Rising Hope Counseling Services, LLC Social Worker 104 9th Ave S # 5a, Nampa, ID 83651-3809 2020-09-12
1720691249 Uzima Health Services LLC Social Worker 1111 S Orchard St Ste 245, Boise, ID 83705-1964 2020-08-25
1932711165 Samantha Paige Averett Social Worker 60 N Broadway, Blackfoot, ID 83221 2020-08-19
1104437995 Erika Lynn Rivera Social Worker 1224 1st St S Ste 307, Nampa, ID 83651-3963 2020-08-14
1881204741 Pacific Wellness LLC Social Worker 212 W Ironwood Dr Ste D-2040, Coeur D Alene, ID 83814-1403 2020-08-05
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Competitor

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City MALAD CITY
Zip Code 83252

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Dataset Information

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.

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