SUSAN SPARKS LCSW NPI 1275994543

NPI Information

NPI: 1275994543
Provider Name: SUSAN SPARKS, LCSW
Classification: Social Worker - 1041S0200X
Entity Type: Individual

Specialization: School

Address:
8500 N KNOXVILLE AVE
PEORIA, IL
ZIP 61615
Phone: (800) 773-1682
Get Directions

Susan Sparks, LCSW is a school social worker in Peoria, IL. Susan Sparks, LCSW NPI is 1275994543. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8500 N KNOXVILLE AVE
PEORIA, IL
ZIP 61615-079
Phone: (800) 773-1682
Fax: (309) 713-2898

The enumeration date for this NPI number is 3/15/2016 and was last updated on 3/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	149.016759	ILLINOIS	No
2	1041S0200X	Social Worker	School	149.016759	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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