Provider Demographics
NPI:1780561522
Name:SPRUELL, JOVELL DENISE (ACSW)
Entity type:Individual
Prefix:
First Name:JOVELL
Middle Name:DENISE
Last Name:SPRUELL
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N K ST APT 4
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93637-4479
Mailing Address - Country:US
Mailing Address - Phone:559-871-4154
Mailing Address - Fax:
Practice Address - Street 1:1653 N SCHNOOR AVE STE 111
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637-3613
Practice Address - Country:US
Practice Address - Phone:559-751-0041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW129403101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health