Organization
SOCIAL SPARKS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN ANGELA SPENCER (OWNER)
(401) 475-0653
Entity
Organization
Contact information
Practice address
1992 OLD LOUISQUISSET PIKE, LINCOLN, RI 02865-4590
(401) 475-0653
(401) 475-0729
Mailing address
1992 OLD LOUISQUISSET PIKE, LINCOLN, RI 02865-4590
(401) 475-0653
(401) 475-0729
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
ISW02133
RI
222Q00000X
Developmental Therapist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/28/2015
Last updated
02/21/2026
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