Organization Active NPI

Spark the Change, LLC

  • Clinical Social Worker
  • Norwell, MA
National Provider Identifier
1417672965
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SPARK THE CHANGE, LLC
Practice address
124 Washington St
Norwell, MA 02061-1731
Phone
(508) 591-0995
NPI assigned
Oct 6, 2022
Last updated
Oct 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Authorized official

Name
Leah Ridpath, LICSWNPI 1649575788
Title
Owner
Phone
(508) 591-0995

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X NU Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X NU

Addresses

Primary practice location

124 Washington St
Norwell, MA 02061-1731

Mailing address

PO Box 2064
Cotuit, MA 02635-2064

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address info@sparkthechangellc.com Direct
Direct Messaging Address INFO@SPARKTHECHANGELLC.COM

National Provider Directory

National Provider Directory

Locations

124 Washington St
Norwell, MA 02061
Phone (508) 591-0995

Practitioners & affiliated clinicians

Practitioners 1

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": "1665014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1417672965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2064",
            "city": "COTUIT",
            "state": "MA",
            "postal_code": "026352064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 WASHINGTON ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611731",
            "telephone_number": "508-591-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK THE CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "RIDPATH",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-591-0995",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@sparkthechangellc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "124 Washington St",
            "city": "Norwell",
            "state": "MA",
            "country_code": "US",
            "postal_code": "020611731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "INFO@SPARKTHECHANGELLC.COM",
            "affiliation": "N",
            "endpointDescription": "secure email account",
            "address_1": "124 Washington St",
            "city": "Norwell",
            "state": "MA",
            "country_code": "US",
            "postal_code": "020611731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.