Individual provider · Type 1 NPI

Alice Elizabeth Stark, LICSW, MHP, CMHS, PhD

Clinical Social Worker · Chico, CA

NPI number 1063720191 Active

Practice location

592 Rio Lindo Ave
Chico, CA 95926-1817

Mailing address

PO Box 1805
Chico, CA 95927-1805

Other practice locations

  • PO Box 1805, Chico, CA 95927-1805 · (530) 382-1645

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLCSW105689 (CA)
Clinical Social Worker Primary 1041C0700X60626355 (WA)

Clinical Social Worker: 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1063720191

Alice Elizabeth Stark, LICSW, MHP, CMHS, PhD's National Provider Identifier is 1063720191, issued on Sep 23, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chico, CA. The record was last updated on Aug 12, 2026.