Individual provider · Type 1 NPI

Kathleen Stark

Clinical Social Worker · Indianapolis, IN

NPI number 1093478281 Active

Practice location

1700 N Illinois St
Indianapolis, IN 46202-1316

Call (317) 880-8491 Map

Mailing address

PO Box 637764
Cincinnati, OH 45263-7764

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1093478281

Kathleen Stark's National Provider Identifier is 1093478281, issued on Oct 15, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 30, 2025.