David J Stark is a Clinical in Wichita, Kansas. David J Stark practices all healthcare services and medical treatments related to Clinical. The NPI Number for David J Stark is 1285686998. The last update date is 2016-05-24.
David J Stark's current location address is 934 N Water St, Wichita, Kansas. You can contact this provider via phone number 3166607600 and fax number 3169415075. The mailing address for David J Stark is 934 N Water St, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David J Stark |
|---|---|
| Address | 934 N Water St, Wichita, Kansas |
| Phone Number | 3166607600 |
| Fax Number | 3169415075 |
| Sole Proprietor | N |
| Credentials | LSCSW |
NPI Number Detail
| NPI Number | 1285686998 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2016-05-24 |
Provider Mailing Address Detail
| Address | 934 N Water St |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672033838 |
| Phone Number | 3166607600 |
| Fax Number | 3169415075 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 53 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 830153 | KS | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the David J Stark's 1285686998?
The David J Stark's NPI (National Provider Identifier) Number is 1285686998. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where David J Stark is physically located?
The David J Stark is situated at the following address: 934 N Water St, Wichita, KS 672033838.
What is the area of specialization for David J Stark, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for David J Stark is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the David J Stark receive the assignment of its 1285686998 from the Centers for Medicare & Medicaid Services?
The David J Stark was issued its 1285686998 by the Centers for Medicare & Medicaid Services on 2006-05-17.
When was the David J Stark's information last updated?
The David J Stark's information was last updated on 2016-05-24.