MR. ALLEN MARK SPIVACK LICSW
NPI 1417240706
Social Worker - Clinical in Roxbury, MA

Active since May 19, 2011
55 DIMOCK ST, ROOM 309, ROXBURY, MA 02119(617) 442-8800(617) 427-1126 Get Directions Write a Review

NPPES record last updated: May 19, 2011. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mr. Allen Mark Spivack Licsw NPPES

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

MR. ALLEN MARK SPIVACK LICSW (NPI 1417240706) is an individual clinical provider in Roxbury, Massachusetts, licensed in Massachusetts (1029802) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1417240706
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. ALLEN MARK SPIVACKCredential: LICSW
Location Address55 DIMOCK ST, ROOM 309Roxbury, MA 02119-1029
Mailing Address55 Dimock St, Room 309Roxbury, MA 02119-1029 · (617) 442-8800 · Fax (617) 427-1126
Fax(617) 427-1126
Sole ProprietorYes
Enumeration DateMay 19, 2011
NPI 1417240706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MA · 1029802
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.
55 DIMOCK ST, Roxbury, MA 02119

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.

Internal Medicine (Infectious Disease)
55 DIMOCK ST, DIMOCK COMMUNITY HEALTH CENTER
ROXBURY, MA 02119
Speech-Language Pathologist
55 DIMOCK ST
ROXBURY, MA 02119
Pharmacy (Community/Retail Pharmacy)
55 DIMOCK ST
ROXBURY, MA 02119
Social Worker (Clinical)
55 DIMOCK ST, ROOM 266A
ROXBURY, MA 02119
Social Worker
55 DIMOCK ST
ROXBURY, MA 02119
Student in an Organized Health Care Education/Training Program
55 DIMOCK ST
ROXBURY, MA 02119
Occupational Therapist (Pediatrics)
55 DIMOCK ST
ROXBURY, MA 02119
Dental Hygienist
55 DIMOCK ST
ROXBURY, MA 02119

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 Allen Spivack's NPI number?

The NPI number for Allen Spivack is 1417240706. It was assigned to this individual provider in the NPPES registry on May 19, 2011.

Where is Allen Spivack located?

Allen Spivack practices at 55 Dimock St Room 309, Roxbury, MA 02119. The listed phone number is (617) 442-8800.

What is Allen Spivack'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 Allen Spivack was last updated on May 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.