Individual provider · Type 1 NPI

Jason Stark, LCSW

Clinical Social Worker · Ithaca, NY

NPI number 1609998574 Active

Practice location

903 Hanshaw Rd
Ithaca, NY 14850-1530

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X082965 (NY)

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 1609998574

Jason Stark, LCSW's National Provider Identifier is 1609998574, issued on Apr 4, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ithaca, NY. The record was last updated on Jul 7, 2023.