Sparks, Jared Jeffrey

Sparks, Jared Jeffrey is an individual health care provider with primary practice located at 2400 S 48Th St , Springdale AR 72762-6683. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Sparks, Jared Jeffrey can be contacted via phone (479) 750-2020.

Contact Information

Primary practice address
2400 S 48Th St Springdale AR 72762-6683
Phone: (479) 750-2020
Fax: (479) 750-4843
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1971C Arkansas

Profile Details

NPI number 1265489728
LBN Legal business name Sparks, Jared Jeffrey
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jan 11th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265489728 NPPES
Arkansas Other 5Y564 BLUE SHIELD PROVIDER #

Popular Providers