Individual provider · Type 1 NPI

Jennifer Dawn Stark, MSW, LICSW

Clinical Social Worker · Petersburg, WV

NPI number 1275720260 Active

Practice location

15 Grant St
Petersburg, WV 26847-1687

Call (304) 263-0811 Map

Mailing address

PO Box 21
Riverton, WV 26814-0021

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XCP00939358 (WV)
Clinical Social Worker Primary 1041C0700XDP00939358 (WV)

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 1275720260

Jennifer Dawn Stark, MSW, LICSW's National Provider Identifier is 1275720260, issued on Oct 3, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Petersburg, WV. The record was last updated on Jan 9, 2017.