MISTY DAWN SPENCER
NPI 1538644646
Social Worker - Clinical in Jacksonville, IL

Active since September 25, 2018
340 W STATE ST, JACKSONVILLE, IL 62650(217) 245-6126(217) 245-4296 Get Directions Write a Review

NPPES record last updated: September 25, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Misty Dawn Spencer NPPES

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

MISTY DAWN SPENCER (NPI 1538644646) is an individual clinical provider in Jacksonville, Illinois, licensed in Illinois (149020584) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1538644646
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISTY DAWN SPENCER
Location Address340 W STATE STJacksonville, IL 62650-2061
Mailing Address710 N 8th StSpringfield, IL 62702-6324 · (217) 525-1064 · Fax (217) 525-1651
Fax(217) 245-4296
Sole ProprietorNo
Enumeration DateSeptember 25, 2018
NPI 1538644646 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 IL · 149020584
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.
340 W STATE ST, Jacksonville, IL 62650

Other Names 1

Former Name (1)Misty Dawn Jones Lcsw

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.

Clinic/Center (Rehabilitation, Substance Use Disorder)
340 W STATE ST
JACKSONVILLE, IL 62650
Counselor (Mental Health)
340 W STATE ST
JACKSONVILLE, IL 62650
Licensed Practical Nurse
340 W STATE ST
JACKSONVILLE, IL 62650
Counselor (Professional)
340 W STATE ST
JACKSONVILLE, IL 62650
Counselor (Professional)
340 W STATE ST
JACKSONVILLE, IL 62650
Licensed Practical Nurse
340 W STATE ST
JACKSONVILLE, IL 62650
Counselor (Mental Health)
340 W STATE ST
JACKSONVILLE, IL 62650
Counselor (Mental Health)
340 W STATE ST
JACKSONVILLE, IL 62650

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 Misty Spencer's NPI number?

The NPI number for Misty Spencer is 1538644646. It was assigned to this individual provider in the NPPES registry on September 25, 2018. The provider is also known as Misty Dawn Jones Lcsw.

Where is Misty Spencer located?

Misty Spencer practices at 340 W State St, Jacksonville, IL 62650. The listed phone number is (217) 245-6126.

What is Misty Spencer'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 Misty Spencer was last updated on September 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.