Healthcare Provider Details

I. General information

NPI: 1912648924
Provider Name (Legal Business Name): ERIKA SPRAKER LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 04/05/2022
Certification Date: 04/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7175 W JEFFERSON AVE STE 4000
LAKEWOOD CO
80235-2336
US

IV. Provider business mailing address

7175 W JEFFERSON AVE STE 4000
LAKEWOOD CO
80235-2336
US

V. Phone/Fax

Practice location:
  • Phone: 303-573-0839
  • Fax:
Mailing address:
  • Phone: 303-573-0839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number0009923985
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: