SPECTRA SUPPORT SERVICES, LLC
NPI 1134482409
Social Worker - Clinical in Broomall, PA

Active since June 20, 2012
390 REED RD FL 1, BROOMALL, PA 19008(484) 450-6476(484) 450-6476 Get Directions Write a Review

NPPES record last updated: April 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2020, Sep 14, 2019, Oct 24, 2018 and 1 more (4 updates tracked since 2016).

About Spectra Support Services, Llc NPPES

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

SPECTRA SUPPORT SERVICES, LLC (NPI 1134482409) is a healthcare organization registered as a clinical in Broomall, Pennsylvania and active in the NPI registry since June 2012. The organization maintains 2 additional practice locations and lists Maleita Marguerite Olson, Director/ Co-owner, as its authorized official.

NPPES Registry Identity

NPI1134482409
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSPECTRA SUPPORT SERVICES, LLC
Location Address390 REED RD FL 1Broomall, PA 19008-4008
Mailing Address390 Reed Rd Fl 1Broomall, PA 19008-4008 · (484) 450-6476 · Fax (484) 224-3398
Fax(484) 450-6476
Organization SubpartNo
Authorized OfficialMaleita Marguerite OlsonDirector/ Co-owner · (484) 450-6476
Enumeration DateJune 20, 2012
Last NPPES UpdateApril 2, 20204 updates tracked since enumeration
NPPES CertifiedApril 2, 2020
NPI 1134482409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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 · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedBehavior AnalystTaxonomy 103K00000X · License BH000073 (PA)
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedMusic TherapistTaxonomy 225A00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
390 REED RD FL 1, Broomall, PA 19008

Secondary Practice Locations 2

Location 1724 W Rolling RdSpringfield, PA 19064-1121 · Phone (484) 450-6476 ext. 700 · Fax (484) 224-3398
Location 2475 Lawrence RdBroomall, PA 19008-3747 · Phone (484) 450-6476 ext. 700 · Fax (610) 544-7142

Other Identifiers 6

Medicaid1027817150023PA
Medicaid1027817150021PA
Medicaid1027817150022PA
Medicaid1027817150024PA
Medicaid1027817150019PA
Medicaid1027817150020PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

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

Counselor (Professional)
390 REED RD FL 1
BROOMALL, PA 19008
Music Therapist
390 REED RD FL 1
BROOMALL, PA 19008
Behavior Analyst
390 REED RD FL 1
BROOMALL, PA 19008
Music Therapist
390 REED RD FL 1
BROOMALL, PA 19008
Counselor (Mental Health)
390 REED RD FL 1
BROOMALL, PA 19008
Counselor (Professional)
390 REED RD FL 1
BROOMALL, PA 19008
Social Worker (Clinical)
390 REED RD FL 1
BROOMALL, PA 19008
Social Worker (Clinical)
390 REED RD FL 1
BROOMALL, PA 19008

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 Spectra Support Services, LLC's NPI number?

The NPI number for Spectra Support Services, LLC is 1134482409. It was assigned to this organization in the NPPES registry on June 20, 2012.

Where is Spectra Support Services, LLC located?

Spectra Support Services, LLC is located at 390 Reed Rd Fl 1, Broomall, PA 19008. The listed phone number is (484) 450-6476.

What is Spectra Support Services, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Spectra Support Services, LLC was last updated on April 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.