Sacred Spark Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SACRED SPARK THERAPY LLC

Practice address

4614 E Sycamore St
Evansville, IN 47714-0327

Phone

(812) 893-5639

NPI assigned

Sep 14, 2026

Last updated

Sep 14, 2026By 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

Dana Renea Tackett-Gesser, LCSW

Title

President and Ceo

Phone

(812) 893-5639

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1891606356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 E SYCAMORE ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140327",
            "telephone_number": "812-893-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 E SYCAMORE ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140327",
            "telephone_number": "812-893-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED SPARK THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "TACKETT-GESSER",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "RENEA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "812-893-5639",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl L Rutkowski, OTR
• Emily K Ryan, OD
• Chester Arthur Rycroft III, D.D.S.
• Madison C Rynkiewich, MSOT
• David L S Ryon, MD
• Lois Sadler
• Muhammad Bilal Safdar, MBBS
• Safe Haven LLC (Genesis Health & Wellness Center)
• Amber Sager-Grindle
• Lyra Sagez

• Clinical Social Worker in Evansville, IN
• Providers in Evansville, IN by specialty
• Clinical Social Worker in Indiana

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

Verify at the official NPI Registry.