Jessica Spohn, LCSW, LADAC, CHES is a
Social Worker - Clinical based in Gallup, New Mexico. Jessica Spohn is licensed to practice in New Mexico (license number C-11330) and her current practice location is
2028 E Aztec Ave, Gallup, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(888) 244-3940.
NPI number for Jessica Spohn is 1891212882 and her current mailing address is 2504 Camino Entrada, Santa Fe, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891212882.
Healthcare Provider's Profile
Full Name | Jessica Spohn |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2028 E Aztec Ave, Gallup, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891212882
- Provider Enumeration Date: 08/29/2017
- Last Update Date: 10/25/2024
Medical Identifiers
Medical identifiers for Jessica Spohn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891212882 | NPI | - | NPPES |
45086231 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | CAD0224842 (New Mexico) | Secondary |
174H00000X | Health Educator | 25076 (New Mexico) | Secondary |
1041C0700X | Social Worker - Clinical | C-11330 (New Mexico) | 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. Jessica Spohn 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 |
Jessica Spohn, LCSW, LADAC, CHES 2504 Camino Entrada, Santa Fe, NM 87507-4851 Ph: (575) 323-9425 | Jessica Spohn, LCSW, LADAC, CHES 2028 E Aztec Ave, Gallup, NM 87301-4804 Ph: (888) 244-3940 |
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