Provider Demographics
NPI:1427208016
Name:SPROLING, MARSHA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:MARSHA
Middle Name:
Last Name:SPROLING
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5408
Mailing Address - Street 2:
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71611-5408
Mailing Address - Country:US
Mailing Address - Phone:870-534-3386
Mailing Address - Fax:870-534-0350
Practice Address - Street 1:1202 W 6TH ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201-3020
Practice Address - Country:US
Practice Address - Phone:501-244-0062
Practice Address - Fax:501-244-0359
Is Sole Proprietor?:No
Enumeration Date:2008-09-19
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
AR2411-M1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR116378726Medicaid