Individual ProviderAshley SparksSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1515 E Tropicana Ave # 580, Las Vegas, NV 89119-6517(702) 898-5311PECOS EnrollmentBased on the most recent information from CMS, provider Ashley Sparks does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1366106247Provider TypeIndividualFull NameSparks, AshleyCredentialLMSW, CSW-INTERNGenderFemaleSole ProprietorYesEnumeration Date10/26/2021Last Updated3/31/2022Contact InformationPractice LocationPractice Address1515 E Tropicana Ave # 580, Las Vegas, NV 89119-6517Phone(702) 898-5311Fax(702) 222-3275Mailing LocationMailing Address1515 E Tropicana Ave # 580, Las Vegas, NV 89119-6517Phone(702) 898-5311Fax(702) 222-3275Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseIC-1858NevadaCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense9900-MNevada