Individual provider · Type 1 NPI
Jenna Nicole Stark, LICSW
Clinical Social Worker · Cambridge, MA
Practice location
75 Mount Auburn Street
Cambridge, MA 02138
Mailing address
47 Harvard Street, Apartment A206
Boston, MA 02129
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 117673 (MA) |
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…
3 other providers at this address
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About NPI 1114350709
Jenna Nicole Stark, LICSW's National Provider Identifier is 1114350709, issued on Aug 19, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cambridge, MA. The record was last updated on Aug 19, 2013.