DALLAS R SPENCER LMSW
NPI 1083913164
Social Worker in Malad City, ID

Active since March 15, 2011Opted out of Medicare · through Apr 1, 2027
44 N MAIN ST, MALAD CITY, ID 83252(208) 766-2389 Get Directions Write a Review

NPPES record last updated: March 15, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dallas R Spencer Lmsw NPPES

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

DALLAS R SPENCER LMSW (NPI 1083913164) is an individual social worker in Malad City, Idaho, licensed in Idaho (LMSW - 31018) and active in the NPI registry since March 2011. He has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1083913164
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameDALLAS R SPENCERCredential: LMSW
Location Address44 N MAIN STMalad City, ID 83252-1200
Mailing Address44 N Main StMalad City, ID 83252-1200 · (208) 766-2389
Sole ProprietorNo
Enumeration DateMarch 15, 2011
NPI 1083913164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in ID · LMSW - 31018
Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

44 N MAIN ST, Malad City, ID 83252

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dallas R Spencer Lmsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2025 through April 1, 2027.

Opt-Out Effective DateApril 1, 2025
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
44 N MAIN ST
MALAD CITY, ID 83252
Community/Behavioral Health
44 N MAIN ST
MALAD CITY, ID 83252
Clinic/Center (Mental Health (Including Community Mental Health Center))
44 N MAIN ST
MALAD CITY, ID 83252

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 Dallas Spencer's NPI number?

The NPI number for Dallas Spencer is 1083913164. It was assigned to this individual provider in the NPPES registry on March 15, 2011.

Where is Dallas Spencer located?

Dallas Spencer practices at 44 N Main St, Malad City, ID 83252. The listed phone number is (208) 766-2389.

What is Dallas Spencer's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Dallas Spencer enrolled in Medicare?

No. Dallas Spencer has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Dallas Spencer accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Providence Health Plan, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Dallas 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 Dallas Spencer was last updated on March 15, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.