Organization Active NPI

Sparrow Center, LLC

  • Clinical Social Worker
  • Albany, GA
National Provider Identifier
1366023434
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SPARROW CENTER, LLC
Practice address
2402 Dawson Rd Ste 6
Albany, GA 31707-2380
Phone
(229) 999-6804
Fax
(229) 466-2661
NPI assigned
Apr 19, 2021
Last updated
Aug 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Authorized official

Name
Ashley Nicole Hall, LCSWNPI 1710512264
Title
Owner/Ceo
Phone
(229) 999-6804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X NU Primary
Marriage & Family Therapist 106H00000X NU
Case Manager/Care Coordinator 171M00000X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

2402 Dawson Rd Ste 6
Albany, GA 31707-2380

Mailing address

2402 Dawson Rd Ste 6
Albany, GA 31707-2380
Phone (229) 999-6804

Other identifiers 1

IdentifierTypeStateIssuer
003262221AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260223003724 GA Part B Supplier - Clinic/Group Practice 1658762158 Receives reassigned benefits from 1 practitioner
Practice locations: Albany, GA

National Provider Directory

National Provider Directory

Locations

2402 Dawson Rd
Ste 2
Albany, GA 31707
Phone (229) 999-6804

2402 Dawson Rd
Ste 6
Albany, GA 31707
Phone (229) 999-6804

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1366023434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 DAWSON RD STE 6",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072380",
            "telephone_number": "229-999-6804",
            "fax_number": "229-466-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 DAWSON RD STE 6",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072380",
            "telephone_number": "229-999-6804",
            "fax_number": "229-466-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARROW CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "229-999-6804",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003262221A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.