Individual provider Active NPI

Ashley Sparks, LMSW, CSW-INTERN

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1366106247
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
IC-1858 Issued in NV
Practice address
1515 E Tropicana Ave # 580
Las Vegas, NV 89119-6517
Phone
(702) 898-5311
Fax
(702) 222-3275
NPI assigned
Oct 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9900-M NV
Clinical Social Worker 1041C0700X IC-1858 NV Primary

Addresses

Primary practice location

1515 E Tropicana Ave # 580
Las Vegas, NV 89119-6517

Mailing address

1515 E Tropicana Ave # 580
Las Vegas, NV 89119-6517
Phone (702) 898-5311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9900-MNVMDClinical Social Worker
IC-1858NVMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1366106247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E TROPICANA AVE # 580",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196517",
            "telephone_number": "702-898-5311",
            "fax_number": "702-222-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E TROPICANA AVE # 580",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196517",
            "telephone_number": "702-898-5311",
            "fax_number": "702-222-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "ASHLEY",
        "credential": "LMSW, CSW-INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "9900-M",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "IC-1858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.