Provider Demographics
NPI:1962201087
Name:MARTIN SPOERER, MARY LAURA (LCSWA, LCAS)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:LAURA
Last Name:MARTIN SPOERER
Suffix:
Gender:F
Credentials:LCSWA, LCAS
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:LAURA
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSWA, LCAS
Mailing Address - Street 1:2586 RICEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-9793
Mailing Address - Country:US
Mailing Address - Phone:828-298-0808
Mailing Address - Fax:
Practice Address - Street 1:2586 RICEVILLE RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-9793
Practice Address - Country:US
Practice Address - Phone:828-298-0808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-28193101YA0400X
NCP0179631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)