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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN SPARKS, LCSW

Active

SUSAN SPARKS, LCSW is a School Social Worker healthcare provider located in PEORIA, Illinois. NPI 1275994543 is currently active in the NPPES registry. Verify at CMS.

School Social Worker · PEORIA, IL

Registration Details

NPI Number
1275994543
Provider Type
Individual
Gender
Female
NPI Issued
Mar 15, 2016 (10.43505430535 yrs)
Last Updated
Mar 15, 2016
Licenses
149.016759 (IL)
149.016759 (IL)

Practice Information

Address
8500 N KNOXVILLE AVE
PEORIA, IL, 616152079
Browse IL providers · Browse ZIP 61615
Phone
8007731682
Fax
3097132898
Primary Specialty
School Social Worker
1041S0200X
Additional Specialty
School Social Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.