Healthcare Provider Details

I. General information

NPI: 1790621613
Provider Name (Legal Business Name): WILLIAM D SPEAR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 MAN MAR DR UNIT 5
PLAINVILLE MA
02762-2270
US

IV. Provider business mailing address

70 CANNING ST
CUMBERLAND RI
02864-2504
US

V. Phone/Fax

Practice location:
  • Phone: 508-316-9747
  • Fax:
Mailing address:
  • Phone: 781-526-0718
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM DAVID SPEAR
Title or Position: SOCIAL WORKER
Credential: LICSW
Phone: 508-316-9747