Active NPI
Kirstie Lynn Sprague, LCSW
- Social Worker
- Rocklin, CA
National Provider Identifier
1922368273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 28245
- Practice address
- 949 Browning LN
4600 47TH Avenue, Suite 111 Sacramento Ca 95824
Rocklin, CA 95765-5462 - Phone
- (916) 408-8634
- NPI assigned
- May 21, 2012
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 28245 | CA | Primary |
Addresses
Primary practice location
949 Browning LN
4600 47TH Avenue, Suite 111 Sacramento Ca 95824
Rocklin, CA 95765-5462
Mailing address
949 Browning LN
Rocklin, CA 95765-5462
Phone (916) 408-8634
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 |
|---|---|---|---|
| 28245 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337558400000",
"number": "1922368273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "949 BROWNING LN",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "957655462",
"telephone_number": "916-408-8634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "949 BROWNING LN",
"address_2": "4600 47TH AVENUE, SUITE 111 SACRAMENTO CA 95824",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "957655462",
"telephone_number": "916-408-8634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRAGUE",
"first_name": "KIRSTIE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-21",
"last_updated": "2012-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "28245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocklin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.