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TINA LONG SPACH LCSW, LCAS
NPI 1386206654
Social Worker - Clinical in Winston Salem, NC

Active since July 08, 2019PECOS Enrolled
791 JONESTOWN RD, WINSTON SALEM, NC 27103(336) 716-4551(336) 716-9694 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2023, May 18, 2023, Jul 8, 2019 (3 updates tracked since 2019).

About Tina Long Spach Lcsw, Lcas NPPES

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

TINA LONG SPACH LCSW, LCAS (NPI 1386206654) is an individual clinical provider in Winston Salem, North Carolina, licensed in North Carolina (CO14780) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386206654
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTINA LONG SPACHCredential: LCSW, LCAS
Location Address791 JONESTOWN RDWinston Salem, NC 27103-1252
Mailing Address100 Kimel Forest DrWinston Salem, NC 27103-6074 · (336) 713-0947
Phone(336) 716-4551
Fax(336) 716-9694
Sole ProprietorNo
Enumeration DateJuly 8, 2019
Last NPPES UpdateDecember 5, 20233 updates tracked since enumeration
NPPES CertifiedDecember 5, 2023
✔ NPI 1386206654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · CO14780
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 LCAS-25654 (NC)
791 JONESTOWN RD, Winston Salem, NC 27103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tina Long Spach Lcsw, Lcas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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 $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 20

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

JEANNE CARETTE REYNOLDS DMIN, LMFT
Marriage & Family Therapist
791 JONESTOWN RD
WINSTON SALEM, NC 27103
Forsyth County (336) 716-4551
MADELINE GRACE RINEY MD
Psychiatry & Neurology (Psychiatry)
791 JONESTOWN RD
WINSTON SALEM, NC 27103
Forsyth County (336) 716-4551
MICHAEL FRANCIS VOLLMER
Physician Assistant
791 JONESTOWN RD
WINSTON SALEM, NC 27103
Forsyth County (336) 716-4551
PREDRAG V GLIGOROVIC MD
Psychiatry & Neurology (Psychiatry)
791 JONESTOWN RD
WINSTON SALEM, NC 27103
Forsyth County (336) 716-2255
DAVID JOHNSTON BURNS M.A.
Counselor (Addiction (Substance Use Disorder))
791 JONESTOWN RD
WINSTON SALEM, NC 27103
Forsyth County (336) 716-4551
MRS. LORNA FRANCES-JACQUELINE BRALICH PA-C
Physician Assistant
791 JONESTOWN RD
WINSTON SALEM, NC 27103
Forsyth County (336) 716-4551
DONALD WALTER PETERS MD
Psychiatry & Neurology (Psychiatry)
791 JONESTOWN RD
WINSTON SALEM, NC 27103
Forsyth County (336) 716-3693
MARCIA MCCALL PHD
Counselor (Mental Health)
791 JONESTOWN RD
WINSTON SALEM, NC 27103
Forsyth County (336) 716-5993

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 Tina Spach's NPI number?

The NPI number for Tina Spach is 1386206654. It was assigned to this individual provider in the NPPES registry on July 8, 2019.

Where is Tina Spach located?

Tina Spach practices at 791 Jonestown Rd, Winston Salem, NC 27103. The listed phone number is (336) 716-4551.

What is Tina Spach's specialty?

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

Is Tina Spach enrolled in Medicare?

Yes. Tina Spach is registered in the Medicare PECOS enrollment system.

What insurance does Tina Spach accept?

Health plans from AmeriHealth Caritas Next list Tina Spach 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 Tina Spach was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.