Provider Demographics
NPI:1508305269
Name:SPENCER, BRITA M (LCSW)
Entity Type:Individual
Prefix:MS
First Name:BRITA
Middle Name:M
Last Name:SPENCER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 WISCONSIN ST
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54703-3588
Mailing Address - Country:US
Mailing Address - Phone:715-210-9284
Mailing Address - Fax:715-210-9284
Practice Address - Street 1:800 WISCONSIN ST STE 420I
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54703-3588
Practice Address - Country:US
Practice Address - Phone:715-210-9284
Practice Address - Fax:715-972-8120
Is Sole Proprietor?:No
Enumeration Date:2017-02-14
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI9002-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical