MISTY DAWN SPENCER


Address: 340 W State St, Jacksonville, IL 62650-2061
Phone: 2172456126

MISTY DAWN SPENCER (NPI# 1538644646) 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) 1538644646
Entity Type Individual
Full Name MISTY DAWN SPENCER
Other Name MISTY DAWN JONES
Practice Address 340 W State St
Jacksonville
IL 62650-2061
Mailing Address 710 N 8th St
Springfield
IL 62702-6324
Practice Telephone 2172456126
Practice Fax Number 2172454296
Mailing Telephone 2175251064
Mailing Fax Number 2175251651
Enumeration Date 2018-09-25
Last Update Date 2018-09-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
149020584 IL Behavioral Health & Social Service Providers

Other Providers MISTY SPENCER

NPI Name Taxonomy Address Enumeration
1760966337 Misty Spencer Nurse Practitioner 11850 Hastings Bridge Rd, Hampton, GA 30228-6276 2018-09-19

Office Location

Street Address 340 W STATE ST
City JACKSONVILLE
State IL
Zip Code 62650-2061

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437128006 Kathy Moore Dyson Counselor 340 W State St, Jacksonville, IL 62650-2061 2006-03-16
1629694583 Elizbeth Huss Secrist Counselor 340 W State St, Jacksonville, IL 62650-2061 2020-06-17
1063058113 Nora A Bishop Counselor 340 W State St, Jacksonville, IL 62650-2061 2019-11-25
1699253815 Teegan Rochelle Lund Counselor 340 W State St, Jacksonville, IL 62650-2061 2018-07-31
1013401322 Mental Health Centers of Central Illinois Clinic/Center 340 W State St, Jacksonville, IL 62650-2061 2018-06-20
1558736959 Christina L. Meads Counselor 340 W State St, Jacksonville, IL 62650-2061 2015-12-10
1164856407 Yoli S Holmes Counselor 340 W State St, Jacksonville, IL 62650-2061 2013-08-22
1649537747 Betsy Van Brocklin Social Worker 340 W State St, Jacksonville, IL 62650-2061 2012-04-13
1972887156 Debra K Webb Social Worker 340 W State St, Jacksonville, IL 62650-2061 2011-10-05
1225282999 Mental Health Centers of Central Illinois Clinic/Center 340 W State St, Jacksonville, IL 62650 2008-11-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134768708 Stephanie Lee Mabus Occupational Therapy Assistant 873 Gorve St, Jacksonville, IL 62650 2019-12-31
1285281071 Sharshon Pharmacy Inc Pharmacy 154 W Morton Ave, Jacksonville, IL 62650 2019-08-26
1992275499 Brittany Ruth Helmich Counselor 340 W. State St., Jacksonville, IL 62650 2018-11-28
1811391782 Rodney E. Overstreet Hearing Instrument Specialist 1521 W. Walnut, Jacksonville, IL 62650 2014-10-21
1407979818 Jan Ala Speech-Language Pathologist 1111 W Morton, Speechworks, Jacksonville, IL 62650 2007-04-09
1083787592 Eldon G Barrowes Dds & Assoc PC Dentist 1515 West Walnut, Bldg #3, Jacksonville, IL 62650 2006-11-15
1194895979 Joseph J Kozma Internal Medicine 1440 West Walnut, Jacksonville, IL 62650 2006-11-08
1740350529 Susan Weller Dentist 1614 West Lafayette Avenue, Jackson, IL 62650 2006-11-08
1659467793 Shawn M Fry Family Medicine 610 N. Westgate, Jacksonville, IL 62650 2006-10-05
1518050061 Ward Richard Dunseth II Nurse Anesthetist, Certified Registered 1400 W Walnut, Jacksonville, IL 62650 2006-10-02
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336748193 Sophia Venditti Social Worker 2598 Post St # 1, Jacksonville, FL 32204-4256 2020-10-22
1629676093 My Journey, LLC Social Worker 13453 N Main St Ste 204, Jacksonville, FL 32218-2773 2020-10-16
1104423524 Sonya Young Social Worker 920 Bridier St, Jacksonville, FL 32206-5904 2020-10-08
1043823115 Sierra Lashonda Murray Social Worker 9246 Thunderbolt Dr, Jacksonville, FL 32221-8052 2020-08-28
1235741901 Deidra Lewis Social Worker 4480 Deerwood Lake Pkwy Unit 134, Jacksonville, FL 32216-2255 2020-08-23
1497365456 Darlene Denise Rolle- Cargill Social Worker 14050 Integra Dr Apt 420, Jacksonville, FL 32218-2592 2020-08-05
1689282626 Andrea Kristin Perkinson Social Worker 128 Plow Point Ln, Jacksonville, NC 28546-9591 2020-07-15
1255956371 Noel Roman Social Worker 11775 Carson Lake Dr W, Jacksonville, FL 32221-3812 2020-06-15
1285257535 Phaith Coaching & Counseling, LLC Social Worker 4940 Emerson St, Jacksonville, FL 32207-4963 2020-05-21
1407478613 Mara's Lighthouse Counseling Center, LLC Social Worker 6015 Morrow St E Ste 114, Jacksonville, FL 32217-2125 2020-05-11
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Competitor

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City JACKSONVILLE
Zip Code 62650

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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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