Sparkle Lastar Cunningham, LICSW | |
700 19th St S, Birmingham, AL 35233-1927 | |
(205) 933-8101 | |
Not Available |
Full Name | Sparkle Lastar Cunningham |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 700 19th St S, Birmingham, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437687225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 3775C (Alabama) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
Mailing Address | Practice Location Address |
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Sparkle Lastar Cunningham, LICSW 2910 Allison Bonnett Memorial Dr Ste 106, Hueytown, AL 35023-1877 Ph: (205) 201-0376 | Sparkle Lastar Cunningham, LICSW 700 19th St S, Birmingham, AL 35233-1927 Ph: (205) 933-8101 |
Tara L Foley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3600 7th Ct S Ste 100, Birmingham, AL 35222 Phone: 205-945-7483 Fax: 205-945-7083 | |
Page Rubin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Century Park S Bldg 300, Birmingham, AL 35226 Phone: 205-942-3200 | |
Christa Devaughn Brown, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3220 5th Ave S Ste 100, Birmingham, AL 35222 Phone: 205-877-8677 Fax: 205-877-8675 | |
Amy Daniel Pribyl, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 619 19th Street South, Birmingham, AL 35233 Phone: 205-934-6600 | |
Muriel C. Thompson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1037 22nd Street South, Suite 200, Birmingham, AL 35205 Phone: 205-326-1513 Fax: 205-326-1514 | |
Mrs. Dorinda A Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 129 E Park Cir, Birmingham, AL 35235 Phone: 205-836-7283 Fax: 205-836-9594 | |
Melissa Evans, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 19th St S, Birmingham, AL 35233 Phone: 205-369-0865 |