Active NPI
Sparkle Patrice Berry, BSW, CHW
- Community Health Worker
- Detroit, MI
National Provider Identifier
1629911490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 3772404-019
- Practice address
- 4401 Conner St
Detroit, MI 48215-2201 - Phone
- (313) 571-2800
- NPI assigned
- Apr 14, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 3772404-019 | MI | Primary |
Addresses
Primary practice location
4401 Conner St
Detroit, MI 48215-2201
Mailing address
4088 Lemay St
Detroit, MI 48214-1646
Phone (313) 407-0214
Other practice location 1
4088 LeMay St
Detroit, MI 48214-1646
Phone (313) 407-0214
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3772404-019 | Medicaid | MI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3772404-019 | MI | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1629911490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4088 LEMAY ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482141646",
"telephone_number": "313-407-0214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 CONNER ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482152201",
"telephone_number": "313-571-2800"
}
],
"practiceLocations": [
{
"address_1": "4088 LeMay St",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482141646",
"country_code": "US",
"telephone_number": "313-407-0214",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERRY",
"first_name": "SPARKLE",
"middle_name": "PATRICE",
"credential": "BSW, CHW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-14",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": "MI",
"license": "3772404-019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3772404-019",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.