MEDICARE: MS. KATHERINE 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	Q1-0000211	DE

General Provider Information

NPI Number	:	1568633857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHERINE SPENCER LCSW

Provider Business Mailing Address
First Line	:	258 E CAMDEN WYOMING AVE
Second Line	:
City	:	CAMDEN
State	:	DE
Zip	:	19934-1303
Country	:	US
Telephone Number	:	302-698-9109
Fax Number	:

Provider Business Practice Location Address
First Line	:	258 E CAMDEN WYOMING AVE
Second Line	:
City	:	CAMDEN
State	:	DE
Zip	:	19934-1303
Country	:	US
Telephone Number	:	302-698-9109
Fax Number	:

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

Provider Enumeration Date	:	03/14/2008
Last Update Date	:	03/24/2025

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