Kelly Anne Spence, LCSW
Social Worker, Clinical in Gainesville, FL. Individual provider (NPI-1).
NPI number1457775488
StatusActive
Last updated in NPPESMay 17, 2016
Details
- NPI
- 1457775488
- Entity type
- Individual (NPI-1)
- Name
- Kelly Anne Spence
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 11, 2014
- Last updated
- May 17, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 | SW 13154 | FL | Yes |
Practice location
1601 Sw Archer RdGainesville, FL 32608-1135
Phone 352-548-6000
Mailing address
1601 Sw Archer RdGainesville, FL 32608-1135
Phone 352-548-6000
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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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