Jennifer L Spaude, LCSW
Social Worker, Clinical in Chandler, AZ. Individual provider (NPI-1).
NPI number1366072399
StatusActive
Last updated in NPPESJul 8, 2024
Details
- NPI
- 1366072399
- Entity type
- Individual (NPI-1)
- Name
- Jennifer L Spaude
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 17, 2020
- Certification date
- Jul 8, 2024
- Last updated
- Jul 8, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- Medicare opt-out
- Jan 1, 2025 to Jan 1, 2027
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW-18357 | AZ | Yes |
Practice location
1270 N Dobson RdChandler, AZ 85224-8548
Phone 602-903-0796
Mailing address
1270 N Dobson RdChandler, AZ 85224-8548
Phone 602-903-0796
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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