Individual provider · Type 1 NPI
David J. Stark, LSCSW
Clinical Social Worker · Wichita, KS
Practice location
940 N Waco Ave
Wichita, KS 67203-3947
Fax (316) 383-8241
Mailing address
934 N Water St
Wichita, KS 67203-3838
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 5836 (KS) |
| Clinical Social Worker Primary | 1041C0700X | 053 (KS) |
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 1285686998
David J. Stark, LSCSW's National Provider Identifier is 1285686998, issued on May 17, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wichita, KS. The record was last updated on May 24, 2016.