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KRISTEN SPENCER LICSW
NPI 1689040263
Social Worker - Clinical in Lincoln, RI

Active since August 18, 2015PECOS EnrolledAccepts Medicare Assignment
25 BLACKSTONE VALLEY PL STE 302, LINCOLN, RI 02865(401) 475-0653(401) 475-0729 Get Directions Write a Review

NPPES record last updated: September 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 4, 2026, Sep 25, 2019 (2 updates tracked since 2019).

About Kristen Spencer Licsw NPPES

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

KRISTEN SPENCER LICSW (NPI 1689040263) is an individual clinical provider in Lincoln, Rhode Island, licensed in Rhode Island (ISW02427) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1689040263
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTEN SPENCERCredential: LICSW
Location Address25 BLACKSTONE VALLEY PL STE 302Lincoln, RI 02865-1163
Mailing Address25 Blackstone Valley Pl Ste 302Lincoln, RI 02865-1163 · (401) 654-0656 · Fax (401) 475-0729
Phone(401) 475-0653
Fax(401) 475-0729
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 18, 2015
Last NPPES UpdateSeptember 4, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2026
✔ NPI 1689040263 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 RI · ISW02427
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.
25 BLACKSTONE VALLEY PL STE 302, Lincoln, RI 02865
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Other Names 1

Former Name (1)Kristen Spencer Licsw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristen Spencer Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052746419
PECOS Enrollment IDI20230216000483
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 Reassignment

Medicare enrollment records show Kristen Spencer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Social Sparks Inc
Same address
Clinical
25 BLACKSTONE VALLEY PL STE 302
Lincoln, RI 02865
  • Reassigned Medicare billing, Rhode Island enrollment
NPI 1871960575 (401) 475-0653

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 02865 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 6

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

MRS. JODIE REGAN SEXTON MA
Specialist
25 BLACKSTONE VALLEY PL STE 302
LINCOLN, RI 02865
Providence County (401) 475-0653
COLLEEN MARY DUSEL LICSW
Social Worker (Clinical)
25 BLACKSTONE VALLEY PL STE 302
LINCOLN, RI 02865
Providence County (401) 475-0653
ALYSSA SAGGAL LMHC
Counselor (Mental Health)
25 BLACKSTONE VALLEY PL STE 302
LINCOLN, RI 02865
Providence County (401) 475-0653
MS. AMANDA G CLAUS LICSW
Social Worker (Clinical)
25 BLACKSTONE VALLEY PL STE 302
LINCOLN, RI 02865
Providence County (401) 475-0653
SYDNEY LABONTE LICSW
Social Worker (Clinical)
25 BLACKSTONE VALLEY PL STE 302
LINCOLN, RI 02865
Providence County (401) 444-5980
SOCIAL SPARKS INC
Social Worker (Clinical)
25 BLACKSTONE VALLEY PL STE 302
LINCOLN, RI 02865
Providence County (401) 475-0653

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 Kristen Spencer's NPI number?

The NPI number for Kristen Spencer is 1689040263. It was assigned to this individual provider in the NPPES registry on August 18, 2015. The provider is also known as Kristen Spencer Licsw.

Where is Kristen Spencer located?

Kristen Spencer practices at 25 Blackstone Valley Pl Ste 302, Lincoln, RI 02865. The listed phone number is (401) 475-0653.

What is Kristen Spencer's specialty?

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

Is Kristen Spencer enrolled in Medicare?

Yes. Kristen Spencer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kristen Spencer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Spencer reassigns Medicare benefits to Social Sparks Inc (Lincoln, RI). The 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 Kristen Spencer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristen Spencer accept?

Health plans from Harvard Pilgrim Health Care list Kristen Spencer 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 Kristen Spencer was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.