MEDICARE: LYNETTE SPENCER LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	149-007034	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	066349	OTHER	IL	HEALTH ALLIANCE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013920792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNETTE SPENCER LCSW

Provider Business Mailing Address
First Line	:	15770D GRISWOLD SPRINGS RD
Second Line	:
City	:	PLANO
State	:	IL
Zip	:	60545-9820
Country	:	US
Telephone Number	:	815-758-8671
Fax Number	:

Provider Business Practice Location Address
First Line	:	34 N ISLAND AVE STE F
Second Line	:
City	:	BATAVIA
State	:	IL
Zip	:	60510-1996
Country	:	US
Telephone Number	:	847-867-8936
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	02/22/2026

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Directions to “ LYNETTE SPENCER LCSW” Practice Location

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