Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Rodney Lee Sparks, BSW

Individual provider Social Worker · NPI 1356464655

Mr. Rodney Lee Sparks, BSW is a Social Worker in Rexburg, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007

Practice location Address checks out

218 Dividend Dr Ste 3
Rexburg, ID 83440-3510
Phone: (208) 359-9683
Fax: (208) 359-9683
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LSW-2558 (ID)

Record details

NPI number1356464655
Entity typeIndividual (Type 1)
GenderMale
Credentials BSW
Sole proprietorNo
NPI enumeratedApril 10, 2007
Last updated in NPPESJuly 8, 2007

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