Active NPI
Laurie Sparks-Dennison
- Social Worker
- Columbus, OH
National Provider Identifier
1891148672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- I.1901512
- Practice address
- 1490 E Main St
Columbus, OH 43205-2140 - Phone
- (614) 252-0731
- NPI assigned
- Jul 18, 2016
- Last updated
- Sep 17, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1600118 | OH | |
| Social Worker | 104100000X | I.1901512 | Primary |
Addresses
Primary practice location
1490 E Main St
Columbus, OH 43205-2140
Mailing address
1490 E Main St
Columbus, OH 43205-2140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 17, 2024 through Dec 17, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1600118 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1891148672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1490 E MAIN ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1490 E MAIN ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052140",
"telephone_number": "614-252-0731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARKS-DENNISON",
"first_name": "LAURIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-18",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1600118",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": "I.1901512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.