Spencer, Jessica S

Spencer, Jessica S is an individual health care provider with primary practice located at 2319 St Matthews Road , Orangeburg SC 29118. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Spencer, Jessica S can be contacted via phone (803) 536-1571.

Contact Information

Primary practice address
2319 St Matthews Road Orangeburg SC 29118
Phone: (803) 536-1571
Fax: (803) 536-1463
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1487982484
LBN Legal business name Spencer, Jessica S
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2009
Last updated Dec 2nd, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487982484 NPPES
South Carolina MEDICAID 413093

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