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MALLORY JO SPENCE MSW, LCASA, LCSWA
NPI 1386253797
Social Worker - Clinical in Wilmington, NC

Active since July 31, 2020Opted out of Medicare · through Feb 13, 2028
3825 MARKET ST STE 4, WILMINGTON, NC 28403(910) 777-5575(910) 777-5273 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2022, Jul 31, 2020 (2 updates tracked since 2020).

About Mallory Jo Spence Msw, Lcasa, Lcswa NPPES

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

MALLORY JO SPENCE MSW, LCASA, LCSWA (NPI 1386253797) is an individual clinical provider in Wilmington, North Carolina, licensed in North Carolina (P014258) and active in the NPI registry since July 2020. She has opted out of Medicare through February 13, 2028.

NPPES Registry Identity

NPI1386253797
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMALLORY JO SPENCECredential: MSW, LCASA, LCSWA
Location Address3825 MARKET ST STE 4Wilmington, NC 28403-1426
Mailing Address3825 Market St Ste 4Wilmington, NC 28403-1426 · (910) 777-5575 · Fax (910) 777-5273
Phone(910) 777-5575
Fax(910) 777-5273
Sole ProprietorYes
Enumeration DateJuly 31, 2020
Last NPPES UpdateApril 14, 20222 updates tracked since enumeration
NPPES CertifiedApril 14, 2022
✔ NPI 1386253797 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 · P014258
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-25514 (NC)
3825 MARKET ST STE 4, Wilmington, NC 28403
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.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

Mallory Jo Spence Msw, Lcasa, Lcswa 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 February 13, 2024 through February 13, 2028.

Opt-Out Effective DateFebruary 13, 2024
Opt-Out In Effect ThroughFebruary 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

MRS. CATHERINE ELIZABETH FULOP LCSW, LCAS
Social Worker (Clinical)
3825 MARKET ST STE 4
WILMINGTON, NC 28403
New Hanover County (910) 777-5575
HAVAH HENZLER LCSW, LCAS
Social Worker (Clinical)
3825 MARKET ST STE 4
WILMINGTON, NC 28403
New Hanover County (910) 777-5575
MRS. SARAH M ELLIOTT LCMHC/S, LCAS, CSI
Counselor (Professional)
3825 MARKET ST STE 4
WILMINGTON, NC 28403
New Hanover County (910) 777-5575
JOANNE Z LEE
Counselor (Mental Health)
3825 MARKET ST STE 4
WILMINGTON, NC 28403
New Hanover County (910) 777-5575
MARY PETRINA GOODWIN LCSW, LCAS-A
Social Worker (Clinical)
3825 MARKET ST STE 4
WILMINGTON, NC 28403
New Hanover County (910) 777-5575
LINDSAY RENGIFO RN
Registered Nurse
3825 MARKET ST STE 4
WILMINGTON, NC 28403
New Hanover County (910) 777-5575
JANE SCHWARTING APRN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3825 MARKET ST STE 4
WILMINGTON, NC 28403
New Hanover County (910) 777-5575
MR. CEDRIC TURNER-KOPA MA, LPA, LCAS, CCS
Psychologist
3825 MARKET ST STE 4
WILMINGTON, NC 28403
New Hanover County (910) 777-5575

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 Mallory Spence's NPI number?

The NPI number for Mallory Spence is 1386253797. It was assigned to this individual provider in the NPPES registry on July 31, 2020.

Where is Mallory Spence located?

Mallory Spence practices at 3825 Market St Ste 4, Wilmington, NC 28403. The listed phone number is (910) 777-5575.

What is Mallory Spence's specialty?

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

Is Mallory Spence enrolled in Medicare?

No. Mallory Spence has opted out of Medicare through February 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Mallory Spence accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Mallory Spence 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 Mallory Spence was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.