Ashley M Sparks, LCSW-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P015713 Issued in NC

Practice address

945 SW Broad St
Southern Pines, NC 28387-5928

Phone

(855) 362-8470

NPI assigned

Feb 3, 2021

Last updated

Feb 4, 2021By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1780276568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 LAKEVIEW DR",
            "city": "WHISPERING PINES",
            "state": "NC",
            "postal_code": "283279412",
            "telephone_number": "910-638-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 SW BROAD ST",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875928",
            "telephone_number": "855-362-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "ASHLEY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Pines Physical Therapy, LLC
• Southern Pines Prescription Shop Inc (McClain Drug)
• Southern Pines Surgery Center, LLC
• Southern Pines Women's Health Center PC
• Southern Speech Diagnostics PLLC
• Catherine Spaulding
• Specialty Pharmacy-Southern Pines LLC
• Cassandra Nicole Spencer, MS, OTR/L
• Stefany Sproul
• Precious C Squalls

• Clinical Social Worker in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.