Provider Demographics
NPI:1447064142
Name:SPENNER, CAROL MARIE
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:MARIE
Last Name:SPENNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 S COLFAX ST
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:NE
Mailing Address - Zip Code:68788-2324
Mailing Address - Country:US
Mailing Address - Phone:402-372-5979
Mailing Address - Fax:
Practice Address - Street 1:740 S COLFAX ST
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:NE
Practice Address - Zip Code:68788-2324
Practice Address - Country:US
Practice Address - Phone:402-372-5979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty