Kevin Spading, is a
Social Worker - Clinical based in Lake Elmo, Minnesota. Kevin Spading is licensed to practice in Minnesota (license number 12613) and his current practice location is
8669 Eagle Point Blvd, Lake Elmo, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(651) 379-0444.
NPI number for Kevin Spading is 1972592954 and his current mailing address is 8669 Eagle Point Blvd, Lake Elmo, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972592954.
Healthcare Provider's Profile
| Full Name | Kevin Spading |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 8669 Eagle Point Blvd, Lake Elmo, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1972592954
- Provider Enumeration Date: 10/20/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Kevin Spading such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972592954 | NPI | - | NPPES |
| 539T6SP | Other | MN | BCBS ID# |
| 62-57490 | Other | MN | MEDICA/UBH ID# |
| HP42060 | Other | MN | HEALTH PARTNERS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 300537 (Minnesota) | Primary |
| 1041C0700X | Social Worker - Clinical | 12613 (Minnesota) | 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. Kevin Spading 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 |
|---|
Kevin Spading,
8669 Eagle Point Blvd,
Lake Elmo, MN 55042-8628
Ph: (651) 379-0444 | Kevin Spading,
8669 Eagle Point Blvd,
Lake Elmo, MN 55042-8628
Ph: (651) 379-0444 |
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