Individual provider · Type 1 NPI

Glenda R. Stark, LMSW

Clinical Social Worker · Memphis, TN

NPI number 1497995930 Active

Practice location

2150 Whitney Ave
Memphis, TN 38127-6662

Call (901) 353-5440 Map

Fax (901) 353-5464

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X6599 (TN)
Clinical Social Worker Primary 1041C0700X5101 (TN)

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 1497995930

Glenda R. Stark, LMSW's National Provider Identifier is 1497995930, issued on Feb 24, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Memphis, TN. The record was last updated on Jun 18, 2012.