# SOCIAL SPARKS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871960575
- **Authorized official:** KRISTEN ANGELA SPENCER (LICSW)
- **Authorized official phone:** (401) 475-0653

## Contact information

- **Practice address:** 25 BLACKSTONE VALLEY PL STE 302, LINCOLN, RI 02865-1163
- **Practice address phone:** (401) 475-0653
- **Practice address fax:** (401) 475-0729
- **Mailing address:** 25 BLACKSTONE VALLEY PL STE 302, LINCOLN, RI 02865-1163
- **Mailing address phone:** (401) 475-0653
- **Mailing address fax:** (401) 475-0729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | ISW02133 | RI | Yes |
| 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