Individual provider · Type 1 NPI
Susan Sparks, LCSW
School Social Worker · Peoria, IL
NPI number
1275994543
Active
Practice location
8500 N Knoxville Ave
Peoria, IL 61615-2079
Fax (309) 713-2898
Mailing address
97 Eastgate Dr
Washington, IL 61571-9271
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.016759 (IL) |
| School Social Worker Primary | 1041S0200X | 149.016759 (IL) |
School Social Worker: Definition to come...
3 other providers at this address
About NPI 1275994543
Susan Sparks, LCSW's National Provider Identifier is 1275994543, issued on Mar 15, 2016. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Peoria, IL. The record was last updated on Mar 15, 2016.