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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JENNIFER DAWN STARK, MSW, LICSW

Active Sole Proprietor

MRS. JENNIFER DAWN STARK, MSW, LICSW is a Clinical Social Worker healthcare provider located in PETERSBURG, West Virginia. NPI 1275720260 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PETERSBURG, WV

Registration Details

NPI Number
1275720260
Provider Type
Individual
Gender
Female
NPI Issued
Oct 3, 2007 (18.680647043089 yrs)
Last Updated
Jan 9, 2017
Licenses
CP00939358 (WV)
DP00939358 (WV)
Sole Proprietor
Yes

Practice Information

Address
15 GRANT ST
PETERSBURG, WV, 268471687
Browse WV providers · Browse ZIP 26847
Phone
3042630811
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in PETERSBURG, WV

Name Credential NPI
MARLENE FRANCHINI KLINE 1588793517
MS. LUCRETIA GOLDIZEN EDGE LICSW 1679807317
COREY NAU 1841941432
ASHLEY M REXRODE 1104683184
ANNA LEAR 1467219444
PAULA J COMBS 1346007325
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.