MR. DAVID SPIRO JR. LCSW
NPI 1710436993
Social Worker - Clinical in Middletown, CT

Active since September 28, 2016PECOS EnrolledAccepts Medicare Assignment
97.27/100
CMS Quality Rating
103 S MAIN ST, MIDDLETOWN, CT 06457(860) 358-8742 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jul 24, 2017, Sep 28, 2016 (3 updates tracked since 2016).

About Mr. David Spiro Jr. Lcsw NPPES

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

MR. DAVID SPIRO JR. LCSW (NPI 1710436993) is an individual clinical provider in Middletown, Connecticut, licensed in Connecticut (009423) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1710436993
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. DAVID SPIRO JR.Credential: LCSW
Location Address103 S MAIN STMiddletown, CT 06457-3651
Mailing Address103 S Main StMiddletown, CT 06457-3651 · (860) 358-8742
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 28, 2016
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1710436993 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 CT · 009423
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.

103 S MAIN ST, Middletown, CT 06457

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. David Spiro Jr. Lcsw 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 ID4688950173
PECOS Enrollment IDI20170418001096
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Psychiatry & Neurology (Psychiatry)
103 S MAIN ST
MIDDLETOWN, CT 06457
Social Worker (Clinical)
103 S MAIN ST
MIDDLETOWN, CT 06457
Nurse Practitioner (Psychiatric/Mental Health)
103 S MAIN ST
MIDDLETOWN, CT 06457
Psychologist (Clinical)
103 S MAIN ST
MIDDLETOWN, CT 06457
Social Worker (Clinical)
103 S MAIN ST
MIDDLETOWN, CT 06457
Psychiatry & Neurology (Neurology)
103 S MAIN ST
MIDDLETOWN, CT 06457
Psychologist (Clinical)
103 S MAIN ST, CENTER OF BEHAVIORAL HEALTH
MIDDLETOWN, CT 06457
Psychiatry & Neurology (Child & Adolescent Psychiatry)
103 S MAIN ST, CENTER FOR BEHAVIORAL HEALTH OUTPATIENT
MIDDLETOWN, CT 06457

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 David Spiro's NPI number?

The NPI number for David Spiro is 1710436993. It was assigned to this individual provider in the NPPES registry on September 28, 2016.

Where is David Spiro located?

David Spiro practices at 103 S Main St, Middletown, CT 06457. The listed phone number is (860) 358-8742.

What is David Spiro's specialty?

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

Is David Spiro enrolled in Medicare?

Yes. David Spiro 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.

When was this NPI record last updated?

The NPPES record for David Spiro was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.