Individual provider · Type 1 NPI

Jerry H. Sparks, LCSW

Clinical Social Worker · Woodland Hills, CA

NPI number 1821295775 Active

Practice location

5601 De Soto Ave
Woodland Hills, CA 91367-6701

Fax (626) 405-6768

Mailing address

393 E Walnut St, 3rd Floor - Phr Systems
Pasadena, CA 91188-0001

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS11751 (CA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1821295775

Jerry H. Sparks, LCSW's National Provider Identifier is 1821295775, issued on Jul 2, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Woodland Hills, CA. The record was last updated on Jul 8, 2007.