Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tina Long Spach, LCSW, LCAS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1386206654

Tina Long Spach, LCSW, LCAS is an Addiction (Substance Use Disorder) Counselor in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2019.

Licensed in
NC
In the registry since
2019
Specialties on file
2
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

791 Jonestown Rd
Winston Salem, NC 27103-1252
Phone: (336) 716-4551
Fax: (336) 716-9694
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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 CO14780 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-25654 (NC)

Record details

NPI number1386206654
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LCAS
Sole proprietorNo
NPI enumeratedJuly 8, 2019
Last updated in NPPESDecember 5, 2023
Certification dateDecember 5, 2023

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