Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimona Shatice Spencer, LCSW

Individual provider Clinical Social Worker · NPI 1790196640

Kimona Shatice Spencer, LCSW is a Clinical Social Worker in New Haven, Connecticut. Qualified in 2014, 12 years ago. Practices with Step Up Care PC LLC, a 175-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
12
Licensed in
CT
In the registry since
2014
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

20 York St
New Haven, CT 06510-3220
Phone: (203) 688-9704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 010026 (CT)

Record details

NPI number1790196640
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 14, 2014
Last updated in NPPESJanuary 2, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Step Up Care Pc Llc — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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