Jared Jeffrey Sparks, LCSW | |
2400 S 48th St, Springdale, AR 72762-6683 | |
(479) 750-2020 | |
(479) 750-4843 |
Full Name | Jared Jeffrey Sparks |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 2400 S 48th St, Springdale, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265489728 | NPI | - | NPPES |
5Y564 | Other | AR | BLUE SHIELD PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1971C (Arkansas) | Primary |
Entity Name | Ozark Guidance Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609875186 PECOS PAC ID: 7214833730 Enrollment ID: O20031208000380 |
Mailing Address | Practice Location Address |
---|---|
Jared Jeffrey Sparks, LCSW 2400 S 48th St, Springdale, AR 72762-6683 Ph: (479) 750-2020 | Jared Jeffrey Sparks, LCSW 2400 S 48th St, Springdale, AR 72762-6683 Ph: (479) 750-2020 |
Susan Elaine Mcbay, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2400 S 48th St, Springdale, AR 72762 Phone: 479-750-2020 Fax: 479-750-8967 | |
Mrs. Dana A Ilie-stout, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2400 S 48th St, Ozark Guidance, Springdale, AR 72762 Phone: 479-750-2020 Fax: 479-750-4843 | |
Amanda Michelle Hutchins, MHPP Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 2400 S 48th St, Springdale, AR 72762 Phone: 479-750-2020 Fax: 479-872-2411 | |
Hayley F Boles, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2466 S 48th St, Springdale, AR 72762 Phone: 479-750-2020 Fax: 479-750-8967 | |
Mrs. Allison Sabra Odom, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 Elmdale Dr, Springdale, AR 72762 Phone: 877-455-8554 | |
Bridget Jones, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3623 Johnson Mill Blvd Ste 103, Springdale, AR 72762 Phone: 479-435-4207 | |
Amber Kizzire Sullivan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2400 S 48th St, Springdale, AR 72762 Phone: 479-750-2020 Fax: 479-872-2441 |