| Social Sparks, Inc. | |
|
1992 Old Louisquisset Pike Lincoln RI 02865-4590 | |
| (401) 475-0653 | |
| (401) 475-0729 |
| Full Name | Social Sparks, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 1992 Old Louisquisset Pike, Lincoln, Rhode Island |
| Authorized Official Name and Position | Tara Kane (BILLER) |
| Authorized Official Contact | 9782891115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Social Sparks, Inc. 1992 Old Louisquisset Pike Lincoln RI 02865-4590 Ph: (401) 475-0653 | Social Sparks, Inc. 1992 Old Louisquisset Pike Lincoln RI 02865-4590 Ph: (401) 475-0653 |
| NPI Number | 1871960575 |
|---|---|
| Provider Enumeration Date | 08/28/2015 |
| Last Update Date | 05/20/2025 |
| Certification Date | 05/20/2025 |
| Medicare PECOS PAC ID | 0143655506 |
|---|---|
| Medicare Enrollment ID | O20230216000366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871960575 | NPI | - | NPPES |
| Provider Name | Kristen Spencer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689040263 PECOS PAC ID: 1052746419 Enrollment ID: I20230216000483 |
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