Individual
PAMELA GAIL SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
106 W 5TH ST, OKMULGEE, OK 74447-7301
(918) 759-2100
(918) 759-2150
Mailing address
106 W 5TH ST, OKMULGEE, OK 74447-7301
(918) 759-2100
(918) 759-2150
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
725
OK
1041C0700X
Clinical Social Worker
Primary
4565
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300522336
MEDICARE
OK
Enumeration date
10/22/2007
Last updated
07/29/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us