Melissa R Sparks is a Clinical in Berea, Kentucky. Melissa R Sparks practices all healthcare services and medical treatments related to Clinical. The NPI Number for Melissa R Sparks is 1720064769. The last update date is 2019-11-27.
Melissa R Sparks's current location address is 104 Legacy Dr, Berea, Kentucky. You can contact this provider via phone number 8599862323 and fax number 8599867728. The mailing address for Melissa R Sparks is 104 Legacy Dr, Berea, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa R Sparks |
|---|---|
| Address | 104 Legacy Dr, Berea, Kentucky |
| Phone Number | 8599862323 |
| Fax Number | 8599867728 |
| Sole Proprietor | N |
| Credentials | LSW |
NPI Number Detail
| NPI Number | 1720064769 |
|---|---|
| Provider Enumeration Date | 2005-12-21 |
| Last Updated Date | 2019-11-27 |
Provider Mailing Address Detail
| Address | 104 Legacy Dr |
|---|---|
| City | Berea |
| State | Kentucky (KY) |
| Post Code | 404039594 |
| Phone Number | 8599862323 |
| Fax Number | 8599867728 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1592 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 82000373 | KY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Melissa R Sparks by the Centers for Medicare & Medicaid Services?
The Melissa R Sparks has been assigned the NPI (National Provider Identifier) 1720064769. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Melissa R Sparks is located?
The Melissa R Sparks is situated at the following address: 104 Legacy Dr, Berea, KY, 404039594.
What is the Melissa R Sparks's area of specialization and corresponding taxonomy classification?
The Melissa R Sparks's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did Melissa R Sparks receive its 1720064769 assignment from the Centers for Medicare & Medicaid Services?
The Melissa R Sparks was assigned its 1720064769 on 2005-12-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Melissa R Sparks most recently updated or revised?
The information pertaining to Melissa R Sparks, including its address, specialty, and other relevant details, was last updated or revised on 2019-11-27.