Self Preservation Through Recovery Independence Transformation Guidanc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SELF PRESERVATION THROUGH RECOVERY INDEPENDENCE TRANSFORMATION GUIDANC

Doing business as

SPRITE Guidance LLC

Practice address

22777 Harper Ave Ste 302
Saint Clair Shores, MI 48080-1877

Phone

(313) 485-0053

NPI assigned

Aug 19, 2020

Last updated

May 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sierra Gardner, LMSWNPI 1265904460

Title

Owner

Phone

(313) 485-0053

Specialties & licenses 1

Addresses

Other names 1

• SPRITE Guidance LLC Doing business as

Locations

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.

• Sierra Gardner, LMSW

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1265904460
  NPD Authorized official

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1518579655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18095 FAIRPORT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482052630",
            "telephone_number": "313-485-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22777 HARPER AVE STE 302",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801877",
            "telephone_number": "313-485-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF PRESERVATION THROUGH RECOVERY INDEPENDENCE TRANSFORMATION GUIDANC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "SIERRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-485-0053",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPRITE Guidance LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SPRITE Guidance LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.