SPENCER T WARDLOW MSED
NPI 1912442138
Counselor - Mental Health in Bloomington, IN

Active since December 23, 2016
804 N COLLEGE AVE STE 100, BLOOMINGTON, IN 47404(812) 803-0663(812) 213-8390 Get Directions Write a Review

NPPES record last updated: December 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2017, Dec 23, 2016 (2 updates tracked since 2016).

About Spencer T Wardlow Msed NPPES

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

SPENCER T WARDLOW MSED (NPI 1912442138) is an individual mental health provider in Bloomington, Indiana and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1912442138
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSPENCER T WARDLOWCredential: MSED
Location Address804 N COLLEGE AVE STE 100Bloomington, IN 47404-3599
Mailing Address804 N College Ave Ste 100Bloomington, IN 47404-3599 · (812) 803-0663 · Fax (812) 213-8390
Fax(812) 213-8390
Sole ProprietorYes
Enumeration DateDecember 23, 2016
Last NPPES UpdateDecember 1, 20172 updates tracked since enumeration
NPI 1912442138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
804 N COLLEGE AVE STE 100, Bloomington, IN 47404

Other Providers at the Same Location NPPES 3

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

Counselor (Mental Health)
804 N COLLEGE AVE STE 100
BLOOMINGTON, IN 47404
Durable Medical Equipment & Medical Supplies
804 N COLLEGE AVE STE 100
BLOOMINGTON, IN 47404
Mastectomy Fitter
804 N COLLEGE AVE STE 100
BLOOMINGTON, IN 47404

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 Spencer Wardlow's NPI number?

The NPI number for Spencer Wardlow is 1912442138. It was assigned to this individual provider in the NPPES registry on December 23, 2016.

Where is Spencer Wardlow located?

Spencer Wardlow practices at 804 N College Ave Ste 100, Bloomington, IN 47404. The listed phone number is (812) 803-0663.

What is Spencer Wardlow's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Spencer Wardlow was last updated on December 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.