1. Home
  2. Directory
  3. Wisconsin
  4. West Allis
  5. Social Worker
  6. NPI Profile

SAMIKQUA SPENCER LCSW
NPI 1013478312
Social Worker - Clinical in West Allis, WI

Active since March 28, 2019PECOS EnrolledAccepts Medicare Assignment
1751 S 115TH CT APT 101, WEST ALLIS, WI 53214(414) 573-4584 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 21, 2025, Jul 26, 2023 (2 updates tracked since 2023).

About Samikqua Spencer Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMIKQUA SPENCER LCSW (NPI 1013478312) is an individual clinical provider in West Allis, Wisconsin, licensed in Wisconsin (12001) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1013478312
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMIKQUA SPENCERCredential: LCSW
Location Address1751 S 115TH CT APT 101West Allis, WI 53214-3779
Mailing Address1751 S 115th Ct Apt 101West Allis, WI 53214-3779 · (414) 573-4584
Phone(414) 573-4584
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 28, 2019
Last NPPES UpdateMay 21, 20252 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1013478312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 12001
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 18477 (WI)
Also ListedSocial WorkerTaxonomy 104100000X · License 132328-121 (WI)
1751 S 115TH CT APT 101, West Allis, WI 53214
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samikqua Spencer Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688102049
PECOS Enrollment IDI20250113002288
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Samikqua Spencer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prohealth Medical Group Inc
2.3 mi
Family Medicine
13900 W NATIONAL AVE
New Berlin, WI 53151
  • Reassigned Medicare billing, Wisconsin enrollment
  • 528 clinicians in this Medicare group
NPI 1962543728 (262) 928-4500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samikqua Spencer's NPI number?

The NPI number for Samikqua Spencer is 1013478312. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is Samikqua Spencer located?

Samikqua Spencer practices at 1751 S 115th Ct Apt 101, West Allis, WI 53214. The listed phone number is (414) 573-4584.

What is Samikqua Spencer's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Samikqua Spencer enrolled in Medicare?

Yes. Samikqua Spencer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Samikqua Spencer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samikqua Spencer reassigns Medicare benefits to Prohealth Medical Group Inc (New Berlin, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samikqua Spencer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samikqua Spencer accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health and UnitedHealthcare list Samikqua Spencer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samikqua Spencer was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.