KATHLEEN SPENCER (LLMSW) – Clinical Social Worker, NPI 1629343843

KATHLEEN SPENCER (LLMSW) is a healthcare provider. based in Lapeer, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LLMSW. They hold a License No. 6801092483 (MI). The NPI Number for KATHLEEN SPENCER (LLMSW) is 1629343843

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN SPENCER (LLMSW)
NPI
1629343843
Phone
(810) 667-0500
Address
1570 SUNCREST DR
Enumeration Date
21 March 2012
Last Update Date
27 April 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8106608275
Graduation Year
1992 (34 years ago)
PAC ID
3173821360
Group Practice PAC ID
5294063004
Professional Enrollment ID
I20160421001617
Address ID
MI484463073LA814XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for KATHLEEN SPENCER (LLMSW)

  • 1570 SUNCREST DR

    LAPEER, MI 484461154

    Phone: (810) 667-0500

    Fax: (810) 245-0655

    Type: Location

  • 585 JEWETT RD

    MASON, MI 488548729

    Phone: (517) 676-5405

    Fax: (517) 676-5460

    Type: Mailing

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: 2016-04-21

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
I20160421001617IClinical Social WorkerMITBD

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 48446)

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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: 5294063004View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for KATHLEEN SPENCER (LLMSW)?
KATHLEEN SPENCER (LLMSW) — NPI 1629343843 — is the standard way to identify this listing.
Is KATHLEEN SPENCER (LLMSW) still practicing?
KATHLEEN SPENCER (LLMSW) is currently listed as active in the public NPI registry.
What taxonomy line describes KATHLEEN SPENCER (LLMSW)?
For research purposes, treat KATHLEEN SPENCER (LLMSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Does KATHLEEN SPENCER (LLMSW) list a practice location?
Patients near Lapeer, Michigan may find KATHLEEN SPENCER (LLMSW) in results; validate coverage separately.
Is the information about KATHLEEN SPENCER (LLMSW) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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