Anita Lorraine Sparks

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL06449300 Issued in NJ

Practice address

7321 Smith Ave
Mays Landing, NJ 08330-4133

Phone

(908) 892-7317

NPI assigned

Mar 8, 2021

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• A Beautiful Life Therapy LLC

  • Adult Mental Health Clinic/Center
  • Mays Landing, NJ
  • NPI 1144990235
  NPD

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1164017588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7321 SMITH AVE",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083304133",
            "telephone_number": "908-892-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7321 SMITH AVE",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083304133",
            "telephone_number": "908-892-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "ANITA",
        "middle_name": "LORRAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06449300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana M Smith, LPN
• Nicole Danielle Sochanski, LCSW
• Karen J Solofsky, O.D.
• South Jersey Center for Oral & Maxillofacial Surgery, LLC
• South Jersey Pediatric Gastroenterology, LLC (Sjpedgi)
• Kareem H Spence, LPC
• Susan L Spiegel, CCC,SLP
• Sprague Dialysis LLC (Mays Landing Dialysis)
• Stable Minded Counseling
• Jetta Starkweather

• Social Worker in Mays Landing, NJ
• Providers in Mays Landing, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.