Jennifer Dawn Stark in Riverton - Clinical
Jennifer Dawn Stark - NPI 1275720260
Jennifer Dawn Stark is a Clinical in Riverton, . Jennifer Dawn Stark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Dawn Stark is 1275720260. The last update date is 2017-01-09.
Jennifer Dawn Stark's current location address is Po Box 21, Riverton, . You can contact this provider via phone number 3045673167. The mailing address for Jennifer Dawn Stark is Po Box 21, Riverton, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Dawn Stark |
|---|---|
| Address | Po Box 21, Riverton, |
| Phone Number | 3045673167 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW, LICSW |
NPI Number Detail
| NPI Number | 1275720260 |
|---|---|
| Provider Enumeration Date | 2007-10-03 |
| Last Updated Date | 2017-01-09 |
Provider Mailing Address Detail
| Address | Po Box 21 |
|---|---|
| City | Riverton |
| State | (WV) |
| Post Code | 268140021 |
| Phone Number | 3045673167 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CP00939358 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the Jennifer Dawn Stark's unique identification number?
The Jennifer Dawn Stark has been assigned the NPI (National Provider Identifier) Number 1275720260 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Jennifer Dawn Stark is located?
The Jennifer Dawn Stark is situated at the following address: Po Box 21, Riverton, WV, 268140021.
What is the area of specialization for Jennifer Dawn Stark, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jennifer Dawn Stark is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Jennifer Dawn Stark receive its 1275720260 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer Dawn Stark was assigned its 1275720260 by the Centers for Medicare & Medicaid Services on 2007-10-03.
As of what date were the Jennifer Dawn Stark's details last updated?
The information pertaining to the Jennifer Dawn Stark, including its address, specialty, and other details, was most recently updated on 2017-01-09.