JOHN SPERZEL LICSW
NPI 1437516572
Social Worker - Clinical in Riverside, RI

Active since January 20, 2016PECOS Enrolled
501 WAMPANOAG TRL UNIT 400, RIVERSIDE, RI 02915(508) 409-7792 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 5, 2026, Oct 10, 2025, Jul 1, 2025 and 3 more (6 updates tracked since 2016).

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

NPI1437516572
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJOHN SPERZELCredential: LICSW
Location Address501 WAMPANOAG TRL UNIT 400Riverside, RI 02915-1507
Mailing Address55 Edgewood Ave Apt 1Attleboro, MA 02703-7067 · (508) 409-7792 · Fax (508) 409-7792
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 20, 2016
Last NPPES UpdateFebruary 5, 20266 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
✔ NPI 1437516572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in RI · ISW04458✔ Licensed in MA · LICSW1120871
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.
501 WAMPANOAG TRL UNIT 400, Riverside, RI 02915

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).

PECOS PAC ID345758454
PECOS Enrollment IDI20251008000420
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.

Medicare Billing Reassignments

3

Medicare 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.

Psychiatry
1035 POST RD
Warwick, RI 02888
  • Reassigned Medicare billing, Rhode Island enrollment
  • 158 clinicians in this Medicare group
Clinical
801 E DOUGLAS AVE FL 2
Wichita, KS 67202
  • Reassigned Medicare billing, Rhode Island enrollment
  • Medicare enrollment name: Sondermind PA
  • 16 clinicians in this Medicare group
Clinical
1738 WYNKOOP ST STE 303
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.

New Patient
$0.00 typical visit price
range $58.57 – $177.03
Typical copayment $0.00 (range $14.64 – $44.25)
Most-billed visit code NA
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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 15

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

Counselor (Mental Health)
501 WAMPANOAG TRL UNIT 400
RIVERSIDE, RI 02915
Social Worker (Clinical)
501 WAMPANOAG TRL UNIT 400
RIVERSIDE, RI 02915
Social Worker (Clinical)
501 WAMPANOAG TRL UNIT 400
RIVERSIDE, RI 02915
Social Worker (Clinical)
501 WAMPANOAG TRL UNIT 400
RIVERSIDE, RI 02915
Social Worker (Clinical)
501 WAMPANOAG TRL UNIT 400
RIVERSIDE, RI 02915
Nurse Practitioner (Psychiatric/Mental Health)
501 WAMPANOAG TRL UNIT 400
RIVERSIDE, RI 02915
Counselor (Mental Health)
501 WAMPANOAG TRL UNIT 400
RIVERSIDE, RI 02915
Social Worker (Clinical)
501 WAMPANOAG TRL UNIT 400
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.