DAVID SPENCER


Address: 2705 E 17th St, Ammon, ID 83406-6601
Phone: 2083467500

DAVID SPENCER (NPI# 1669705414) 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) 1669705414
Entity Type Individual
Full Name DAVID SPENCER
Credential MSW
Practice Address 2705 E 17th St
Ammon
ID 83406-6601
Mailing Address 647 Marjorie Ave
Ammon
ID 83401-4637
Practice Telephone 2083467500
Mailing Telephone 2084064822
Enumeration Date 2009-09-11
Last Update Date 2019-03-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1301 E 17th St, Idaho Falls, ID 834046273 2085383122
3365 E Edwards Dr, Idaho Falls, ID 834011333 2084064822

Other Providers DAVID SPENCER

NPI Name Taxonomy Address Enumeration
1154820157 David Vincent Spencer Internal Medicine 201 W Broadway Building, Suite E, Columbia, MO 65203 2018-02-05
1588060552 David Spencer Behavioral Analyst 315 Galt St, New Albany, IN 47150-1613 2014-11-18
1114143203 David Arnold Spencer Dentist 806 S Nordic, Petersburg, AK 99833-0469 2007-04-17
1194703934 David N Spencer Family Medicine 915 Ne Valley Rd, Pullman, WA 99163-3845 2006-01-03
1932736915 David E Spencer Student in an Organized Health Care Education/Training Program 3400 Spruce St, Philadelphia, PA 19104-4238 2020-03-27
1093199796 David Spencer Physician Assistant 1000 N Oak Ave, Marshfield, WI 54449-5703 2015-07-13
1891005872 David Higley Spencer Pathology 660 S Euclid Ave, Box 8118, Saint Louis, MO 63110-1010 2010-10-08
1295904860 David Rowley Spencer Occupational Therapy Assistant 15600 San Pedro Ave, San Antonio, TX 78232-3740 2008-02-27
1568641595 David K Spencer Hospitalist 1425 Portland Ave, Rochester, NY 14621-3001 2007-10-26
1386842755 David Lamar Spencer Jr. Urology 2525 Telephone Rd, Pascagoula, MS 39567-3202 2007-07-06

Office Location

Street Address 2705 E 17TH ST
City AMMON
State ID
Zip Code 83406-6601

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336273085 Stephen A Denagy Internal Medicine 2705 E 17th St, Ammon, ID 83406-6601 2007-03-15
1043820996 Sara Pinson Counselor 2705 E 17th St, Ammon, ID 83406-6601 2020-08-05
1043829062 Siu Ling Chi Counselor 2705 E 17th St, Ammon, ID 83406-6601 2020-07-26
1790308823 Alannah Nunez Social Worker 2705 E 17th St, Ammon, ID 83406-6601 2020-05-22
1952934580 Leticia Marlen Ramos Social Worker 2705 E 17th St, Ammon, ID 83406-6601 2020-02-21
1245863935 Kristina Joy Bischoff Social Worker 2705 E 17th St, Ammon, ID 83406-6601 2020-02-20
1174161608 Michael Patrick Pressler Social Worker 2705 E 17th St, Ammon, ID 83406-6601 2019-12-16
1740827807 Amanda E Sturgeon Social Worker 2705 E 17th St, Ammon, ID 83406-6601 2019-12-06
1326684507 Kathryn Griggs Social Worker 2705 E 17th St, Ammon, ID 83406-6601 2019-11-21
1649816182 Kevin Ryan Anderson Social Worker 2705 E 17th St, Ammon, ID 83406-6601 2019-11-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598383929 Cristina Leon, Do Pa Pediatrics Idaho Falls Pediatrics, 3067 Eagle Dr, Ammon, ID 83406 2020-07-13
1144783499 Mountain States Diabetes Relief, LLC Internal Medicine 4573 E Majestic, Idaho Falls, ID 83406 2019-04-12
1447718853 Root Cause Integrative Medicine LLC Family Medicine 1547 S Midway Ave, Suite B, Ammon, ID 83406 2019-03-05
1225379183 Sterling Hospital LLC General Acute Care Hospital 5412 S. Rock House Cir, Idaho Falls, ID 83406 2013-03-01
1710236823 Flower D. Aston Dietitian, Registered 300 Bridger Drive, Ammon, ID 83406 2012-09-05
1558658468 Nathan Myers Pharmacist 1901 South 2500 East, Idaho Falls, ID 83406 2011-06-30
1760719934 Snf Ammon Operating Company LLC. Skilled Nursing Facility 3909 South 25th East, Ammon, ID 83406 2009-11-10
1316192370 A Childs Smile Dentist 3299 E. 17th Street, Ammon, ID 83406 2008-11-18
1992968804 Brandon D Gordon Dentist 7186 Sage View Cr, Idaho Falls, ID 83406 2008-07-10
1891996526 Help, Inc. Community/Behavioral Health 1465 Hoopes Ave, Idaho Falls, ID 83406 2007-05-30
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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
1922627314 Taresa Dawn Crow Social Worker 3655 Samuel St, Ammon, ID 83406-7822 2020-04-15
1154822831 Paul Bryan Wurtsmith Social Worker 3754 Briar Creek Ln, Ammon, ID 83406-4688 2018-02-27
1932535853 Jenny Taylor Social Worker 5036 Chimney Rock Dr, Ammon, ID 83406-8188 2013-09-24
1750935532 Annette Ballard Social Worker 2705 E 17th St, Ammon, ID 83406-6601 2019-07-30
1477018323 Tiffany Hayner Social Worker 1675 Curlew Dr, Ammon, ID 83406-4850 2019-02-05
1487186656 Travis Thornton Social Worker 3522 Briar Creek Ln, Ammon, ID 83406-4728 2017-03-28
1720320328 Cassie Davis Social Worker 3522 Briar Creek Ln, Ammon, ID 83406-4728 2013-03-21
1134359607 Marcia D Roberts Social Worker 1675 Curlew Dr, Ammon, ID 83406-4718 2009-07-19
1386770741 Dale Allen Schneider Social Worker 1675 Curlew Dr., Ammon, ID 83406 2007-02-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1679171961 Jill Michelle Chonody Social Worker 3134 S Waterbury Ln, Boise, ID 83706-5222 2020-10-09
1750999777 Deanna Armenia Brent Social Worker 7450 W Althea Ct, Boise, ID 83709-1777 2020-07-15
1164040820 Sylinda Lee Mendenhall Social Worker 771 S Jafer Court, Idaho Falls, ID 83401-8404 2020-07-09
1013533231 Sylvia Oh Social Worker 2118 S Latah St, Boise, ID 83705-3947 2020-06-23
1073135851 Kimberly Ruth Carey Social Worker 6160 Dallas Ln, Bonners Ferry, ID 83805-9794 2020-05-14
1497377469 Raising Resilience Holistic Mental Wellness Inc Social Worker 610 W Hubbard St Ste 226, Coeur D Alene, ID 83814-2200 2020-05-13
1417577412 Stacey Titus Pllc Social Worker 5440 W Franklin Rd Ste 201, Boise, ID 83705-6434 2020-04-20
1447888656 Berndt and Associates In Psychcare LLC Social Worker 4477 W Emerald St Ste C275, Boise, ID 83706-2078 2020-04-01
1467086603 Abundant Serenity LLC Social Worker 925 N Main St Ste A, Meridian, ID 83642-2301 2020-02-26
1124650106 Summer Overberg Social Worker 908 Idaho St, Lewiston, ID 83501-1937 2020-02-07
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Competitor

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City AMMON
Zip Code 83406

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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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