Active NPI
Rebecca L Sparks, LCSW
- Clinical Social Worker
- Stilwell, OK
National Provider Identifier
1104700756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10224-C
- Practice address
- 704 S 2ND St
Stilwell, OK 74960-4820 - Phone
- (918) 936-0410
- NPI assigned
- Aug 5, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10224-C | AR | Primary |
| Clinical Social Worker | 1041C0700X | ISW04630 | RI |
Addresses
Primary practice location
704 S 2ND St
Stilwell, OK 74960-4820
Mailing address
8901 S 30TH St
Fort Smith, AR 72908-8967
Phone (479) 719-4505
Other practice location 1
10300 Jenny Lind Rd
Fort Smith, AR 72908-9101
Phone (479) 385-2330
Other practice location 2
1150 Reservoir Ave Ste 203
Cranston, RI 02920-6032
Phone (401) 259-0340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260423002497 | TX | Practitioner - Clinical Social Worker | 6507333812 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Echota Behavioral Health Services LLC
Practice addresses (Care Compare)
16414 W 760 Rd
Tahlequah, OK 74464-1675
Phone (918) 708-9009
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10224-C | AR | MD | Clinical Social Worker |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Tahlequah, OK
- NPI 1407477920
TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1104700756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 S 30TH ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729088967",
"telephone_number": "479-719-4505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 S 2ND ST",
"city": "STILWELL",
"state": "OK",
"postal_code": "749604820",
"telephone_number": "918-936-0410"
}
],
"practiceLocations": [
{
"address_1": "10300 Jenny Lind Rd",
"address_purpose": "LOCATION",
"city": "Fort Smith",
"state": "AR",
"postal_code": "729089101",
"country_code": "US",
"telephone_number": "479-385-2330",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1150 Reservoir Ave Ste 203",
"address_purpose": "LOCATION",
"city": "Cranston",
"state": "RI",
"postal_code": "029206032",
"country_code": "US",
"telephone_number": "401-259-0340",
"fax_number": "401-213-8538",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPARKS",
"first_name": "REBECCA",
"middle_name": "L",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-05",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "10224-C",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW04630",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stilwell, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.