Susan D Sparks
Individual provider Active NPI School Social Worker · Round Hill, VA
NPI 1255913232 · NPPES record last updated Apr 28, 2021
Key facts
- NPI
- 1255913232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Social Worker 1041S0200X
- Practice address
- 35683 McLean CT
Round Hill, VA 20141-4421 - Phone
- (336) 409-5950
- NPI assigned
- Apr 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | Yes |
Addresses
Primary practice location
35683 McLean CT
Round Hill, VA 20141-4421
Mailing address
35683 McLean CT
Round Hill, VA 20141-4421
Phone (336) 409-0595
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All providers in Round Hill, VA · School Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.