Mary Elizabeth Sparks, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0800111-SUPV Issued in OH

Practice address

1810 Sullivant Ave
Columbus, OH 43222

Phone

(614) 641-4073

Fax

(614) 995-3268

NPI assigned

Nov 28, 2006

Last updated

Nov 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1124194204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 SULLIVANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221055",
            "telephone_number": "614-641-4073",
            "fax_number": "614-995-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 SULLIVANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43222",
            "telephone_number": "614-641-4073",
            "fax_number": "614-995-3268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3595 Sullivant Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432282121",
            "country_code": "US",
            "telephone_number": "614-752-0333 x5720",
            "fax_number": "614-995-3268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3595 Sullivant Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432282121",
            "country_code": "US",
            "telephone_number": "614-752-0333 x5720",
            "fax_number": "614-995-3268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0800111-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myles D. Spar, M.D.
• Laurie Sparks-Dennison
• Alisha Nichole Sparks
• Bryce Sparks
• Jaclyn Sparks, QMHS
• Michele Sparks, MS/LPCC
• Rochelle Nicole Sparks
• Sparkster LLC
• Abigalle Ryan Sparrow, CRNA
• Kelly Elizabeth Spatorico

• Clinical Social Worker in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.