Emily Sparks, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW15410 Issued in FL

Practice address

4111 Commons Dr W Apt 1101
Destin, FL 32541-8489

Phone

(850) 658-2688

NPI assigned

Oct 30, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1679040471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 COMMONS DR W APT 1101",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325418489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 COMMONS DR W APT 1101",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325418489",
            "telephone_number": "850-658-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "EMILY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry D Smith, PHARMD, BCPS
• Snowbird Home Care, LLC
• Nevine W Sorial, RPH
• South Walton Medical Center Inc
• Anne Noles Sparks, EDID LMHC
• Lowery H Sparks, O.D.
• Diane D Speedling, M.D.
• Spinal Connections Wellness Center LLC
• Spine Institute on the Emerald Coast
• Marilyn T Sprenkle, M.D.

• Clinical Social Worker in Destin, FL
• Providers in Destin, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.