Active NPIIndividual providerSole proprietor

Andrea A Spence, LCSW-R, CCM

Developmental Therapist in Willingboro, New Jersey

NPI Number1851053797
Practice location
58 Gaylord Cir, Willingboro, NJ 08046-3306
Fax
—
Last updated
October 7, 2021

Andrea Annette Spence is a Developmental Therapist based in Willingboro, NJ. Andrea Annette Spence practices in Willingboro, NJ and has the professional credentials of LCSW-R, CCM. The NPI Number for Andrea Annette Spence is 1851053797. The current practice location address for Andrea Annette Spence is 58 Gaylord Cir, Willingboro, NJ 08046-3306 and can be reached out via phone at 917-698-6245.

Provider Profile Details

NPI Number
1851053797
Provider Name
Andrea Annette Spence
Credential
LCSW-R, CCM
Provider Entity Type
Individual
Gender
Female
Address
58 Gaylord Cir, Willingboro, NJ 08046-3306
Phone Number
917-698-6245
Primary Taxonomy
Developmental Therapist · 222Q00000X
Sole Proprietor
Yes
Other Names
Andrea Holmes, LCSW-R, CCM (Other Name)
Provider Enumeration Date
October 7, 2021
Last Update Date
October 7, 2021
Certification Date
October 7, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
58 Gaylord Cir
Willingboro, NJ 08046-3306
Zip
08046-3306
Phone Number
917-698-6245
Willingboro, NJ 08046Get directions →

Provider Business Mailing Address Details

Address
58 Gaylord Cir
Willingboro, NJ 08046-3306
City
Willingboro
State
NJ
Zip
08046-3306
Phone Number
917-698-6245

License Information

Taxonomy
Developmental Therapist · 222Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Andrea A Spence, LCSW-R, CCM?

The NPI number of Andrea A Spence, LCSW-R, CCM is 1851053797. It was assigned on October 7, 2021 and is currently active in the NPPES registry.

What is the specialty of Andrea A Spence, LCSW-R, CCM?

Andrea A Spence, LCSW-R, CCM is registered under the primary taxonomy Developmental Therapist (code 222Q00000X).

Where does Andrea A Spence, LCSW-R, CCM practice?

The practice location is 58 Gaylord Cir, Willingboro, NJ 08046-3306. The office can be reached at 917-698-6245 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1851053797 directly on the NPPES registry website.

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