Individual
MS. ANGIE SPIVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 NW DIXIE HIGHWAY, STE 102, STUART, FL 34994
(772) 692-8585
Mailing address
500 NW DIXIE HWY, SUITE 102, STUART, FL 34994-1186
(720) 432-2395
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW.09925686
CO
1041C0700X
Clinical Social Worker
Primary
SW10302
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW.09925686
STATE LICENSE
CO
01
—
SW10302
STATE LICENSE
FL
Enumeration date
08/08/2013
Last updated
10/13/2020
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