MEDICARE: ELAINE G. SPICER

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	34000821A	IN

General Provider Information

NPI Number	:	1124448733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELAINE G. SPICER

Provider Business Mailing Address
First Line	:	430 S LAKE ST
Second Line	:
City	:	GARY
State	:	IN
Zip	:	46403-2405
Country	:	US
Telephone Number	:	219-512-2642
Fax Number	:

Provider Business Practice Location Address
First Line	:	430 S LAKE ST
Second Line	:
City	:	GARY
State	:	IN
Zip	:	46403-2405
Country	:	US
Telephone Number	:	219-512-2642
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ELAINE G SPICER
Credential	:	LCSW
Telephone Number	:	219-512-2642

Provider Enumeration Date	:	04/22/2014
Last Update Date	:	04/22/2014

Similar Medicare Providers

1881724730 — MS. MICHELLE BREUNIG DNP, CNS, FNP-C
Practice Location Address:

426 S LAKE ST
GARY, IN
46403-2405

Practice Phone: 219-939-6070
Practice Fax: 219-939-6090

1700064201 — WALKER MEDICAL LLC
Practice Location Address:

426 S LAKE ST
GARY, IN
46403-2405

Practice Phone: 219-939-8970
Practice Fax: 219-939-6090

1427389287 — LAKE COUNTY WALKER MEDICAL
Practice Location Address:

426 S LAKE ST
GARY, IN
46403-2405

Practice Phone: 219-939-6070
Practice Fax:

1245907344 — EDGEWATER SYSTEMS FOR BALANCED LIVING, INC
Practice Location Address:

426 S LAKE ST
GARY, IN
46403-2405

Practice Phone: 219-939-6070
Practice Fax:

1821462227 — ASHA L ISMAEL CNA
Practice Location Address:

2405 ARTHUR ST , 107
GARY, IN
46404-3559

Practice Phone: 708-505-9386
Practice Fax:

1801894076 — DR. TEOFILO S BAUTISTA M.D., P.C.
Practice Location Address:

642 S LAKE ST
GARY, IN
46403-2967

Practice Phone: 219-938-4481
Practice Fax: 219-938-6480

Directions to “ELAINE G. SPICER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.