Individual provider Active NPI

Rebecca L Sparks, LCSW

  • Clinical Social Worker
  • Stilwell, OK
National Provider Identifier
1104700756
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10224-C Issued in AR
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

Updated by the provider on Aug 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 2264928746, 9 clinicians

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

LicenseStateTypeSpecialty
10224-CARMDClinical 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.

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

Verify at the official NPI Registry.