Individual provider · Type 1 NPI

Kelly Stark

Social Worker · Ammon, ID

NPI number 1114343985 Active

Practice location

2705 E 17th St
Ammon, ID 83406-6669

Call (208) 346-7500 Map

Fax (208) 346-7501

Specialties and licenses

TaxonomyCodeLicense
Social Worker Primary 104100000XLMSW-33495 (ID)

Social Worker: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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About NPI 1114343985

Kelly Stark's National Provider Identifier is 1114343985, issued on Mar 17, 2014. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Ammon, ID. The record was last updated on Nov 25, 2025.