Penny S Stark in Devon - Clinical

Penny S Stark - NPI 1912109463

Penny S Stark is a Clinical in Devon, Pennsylvania. Penny S Stark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Penny S Stark is 1912109463. The last update date is 2007-07-08.

Penny S Stark's current location address is 31 Lakeside Ct, Devon, Pennsylvania. You can contact this provider via phone number 6106958737. The mailing address for Penny S Stark is 31 Lakeside Ct, Devon, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Penny S Stark
Address 31 Lakeside Ct, Devon, Pennsylvania
Phone Number 6106958737
Fax Number
Sole Proprietor Y
Credentials MSS, LSW

NPI Number Detail

NPI Number 1912109463
Provider Enumeration Date 2007-06-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 31 Lakeside Ct
City Devon
State Pennsylvania (PA)
Post Code 193331569
Phone Number 6106958737
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No CW007385L
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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FAQs about Penny S Stark

What is the unique 10-digit identifier code issued to Penny S Stark by the Centers for Medicare & Medicaid Services?

The Penny S Stark has been assigned the NPI (National Provider Identifier) 1912109463 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Penny S Stark is physically located?

The Penny S Stark is physically situated at the following address: 31 Lakeside Ct, Devon, PA, 193331569.

What is Penny S Stark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Penny S Stark is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.

When did Penny S Stark receive its 1912109463 assignment?

The Penny S Stark was assigned its 1912109463 on 2007-06-05, which is the date when this unique identifier was issued to the organization.

As of what date were the Penny S Stark's details last updated?

The information pertaining to the Penny S Stark, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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