Rodney Lee Sparks, BSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LSW-2558 Issued in ID

Practice address

218 Dividend Dr Ste 3
Rexburg, ID 83440-3510

Phone

(208) 359-9683

Fax

(208) 359-9683

NPI assigned

Apr 10, 2007

Sex

Male

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)

Not 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.

• Ostermiller Counseling Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rexburg, ID
  • NPI 1639292626
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356464655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 W 3600 S",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834404107",
            "telephone_number": "208-356-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 DIVIDEND DR STE 3",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834403510",
            "telephone_number": "208-359-9683",
            "fax_number": "208-359-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "RODNEY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "BSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LSW-2558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleb M Sorensen
• South Fork Services, LLC
• Glade Southam, NP
• Southpoint Family and Urgent Care PLLC
• Emily Spackman, D.P.T
• Spine and Sport Pysical Therapy PC
• Dustin Boyd Stacey, PHARMD
• Tate Coltan Staker, PA-C
• Cameron Stephenson, NP
• Elizabeth Clark Stephenson, LCPC

• Social Worker in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.