JOHN SPERZEL LICSW
NPI 1437516572
Social Worker - Clinical in Riverside, RI
About John Sperzel Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN SPERZEL LICSW (NPI 1437516572) is an individual clinical provider in Riverside, Rhode Island, licensed in Rhode Island (ISW04458) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Sperzel Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show John Sperzel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Warwick, RI 02888
- Reassigned Medicare billing, Rhode Island enrollment
- 158 clinicians in this Medicare group
Wichita, KS 67202
- Reassigned Medicare billing, Rhode Island enrollment
- Medicare enrollment name: Sondermind PA
- 16 clinicians in this Medicare group
Denver, CO 80202
- Reassigned Medicare billing, Massachusetts enrollment
- 94 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02915 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
RIVERSIDE, RI 02915
RIVERSIDE, RI 02915
RIVERSIDE, RI 02915
RIVERSIDE, RI 02915
RIVERSIDE, RI 02915
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 John Sperzel's NPI number?
The NPI number for John Sperzel is 1437516572. It was assigned to this individual provider in the NPPES registry on January 20, 2016.
Where is John Sperzel located?
John Sperzel practices at 501 Wampanoag Trl Unit 400, Riverside, RI 02915. The listed phone number is (508) 409-7792.
What is John Sperzel's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is John Sperzel enrolled in Medicare?
Yes. John Sperzel is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for John Sperzel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Sperzel reassigns Medicare benefits to 3 organizations: Child And Family Psychiatry, Inc. (Warwick, RI), Sondermind, P.A. (Wichita, KS) and Sondermind Provider Network LLC (Denver, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Sperzel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Sperzel accept?
Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list John Sperzel 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 John Sperzel was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.