Mallory Jo Spence, MSW, LCASA, LCSWA is a
Social Worker - Clinical based in Wilmington, North Carolina. Mallory Jo Spence is licensed to practice in North Carolina (license number P014258) and her current practice location is
3825 Market St Ste 4, Wilmington, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(910) 777-5575.
NPI number for Mallory Jo Spence is 1386253797 and her current mailing address is 3825 Market St Ste 4, Wilmington, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386253797.
Healthcare Provider's Profile
| Full Name | Mallory Jo Spence |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 3825 Market St Ste 4, Wilmington, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1386253797
- Provider Enumeration Date: 07/31/2020
- Last Update Date: 04/14/2022
Medical Identifiers
Medical identifiers for Mallory Jo Spence such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386253797 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-25514 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | P014258 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mallory Jo Spence is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mallory Jo Spence, MSW, LCASA, LCSWA
3825 Market St Ste 4,
Wilmington, NC 28403-1426
Ph: (910) 777-5575 | Mallory Jo Spence, MSW, LCASA, LCSWA
3825 Market St Ste 4,
Wilmington, NC 28403-1426
Ph: (910) 777-5575 |
Reviews and Comments