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

Q: 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.

Q: 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.

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: October 25, 2026.

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

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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

Phone(484) 450-6476

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

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spectra Support Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to Spectra Support Services, LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.