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Organization
SOCIAL SPARKS INC
Active
Organization
SOCIAL SPARKS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN ANGELA SPENCER (LICSW)
(401) 475-0653
Entity
Organization
Contact information
Practice address
25 BLACKSTONE VALLEY PL STE 302, LINCOLN, RI 02865-1163
(401) 475-0653
(401) 475-0729
Mailing address
25 BLACKSTONE VALLEY PL STE 302, LINCOLN, RI 02865-1163
(401) 475-0653
(401) 475-0729
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
ISW02133
RI
222Q00000X
Developmental Therapist
—
NULL
222Q00000X
Developmental Therapist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/28/2015
Last updated
09/08/2026
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