STEPHANIE SPOCK – Clinical Social Worker, NPI 1104668342

STEPHANIE SPOCK is a healthcare provider. based in South hadley, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 11411 (CT). The NPI Number for STEPHANIE SPOCK is 1104668342

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE SPOCK
NPI
1104668342
Phone
(860) 995-3714
Address
43 HIGH ST
Enumeration Date
10 June 2024
Last Update Date
10 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3232057088
Graduation Year
2016 (10 years ago)
PAC ID
3779004007
Group Practice PAC ID
8921466228
Professional Enrollment ID
I20250304000501
Address ID
CT06103XXXXHAXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

Provider Addresses for STEPHANIE SPOCK

  • 43 HIGH ST

    SOUTH HADLEY, MA 010752718

    Phone: (860) 995-3714

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250304000501IClinical Social WorkerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01075)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921466228View full group profile
NameSpecialtyState
Clinical Social WorkerMD
Mental Health CounselorMD
Clinical Social WorkerMA
Clinical Social WorkerVA
Mental Health CounselorWV
Clinical Social WorkerVA
Clinical Social WorkerMD
Mental Health CounselorVA
Clinical Social WorkerSC
Clinical Social WorkerMT

Reviews

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Frequently asked questions

What number should I use to identify STEPHANIE SPOCK for billing?
Administrative and clinical systems typically use NPI 1104668342 for STEPHANIE SPOCK.
Is STEPHANIE SPOCK's NPI status active today?
Active status means STEPHANIE SPOCK's NPI record is not deactivated in the public file.
Which specialty label fits STEPHANIE SPOCK?
NPPES ties STEPHANIE SPOCK to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to STEPHANIE SPOCK?
The directory associates STEPHANIE SPOCK with South Hadley, Massachusetts. Check all listed addresses for suites or satellite offices.
Can I export STEPHANIE SPOCK's record?
You can download the official NPPES record; we summarize key fields for readability.

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