JULIE L. STARK (NPI# 1790164812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790164812 |
| Entity Type | Individual |
| Full Name | JULIE L. STARK |
| Credential | MSW, LCSW |
| Practice Address |
111 Nesconset Hwy Suite 108 Smithtown NY 11788-2524 |
| Mailing Address |
111 Nesconset Hwy Ste 108 Hauppauge NY 11788-2512 |
| Practice Telephone | 6466960011 |
| Mailing Telephone | 6466960011 |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2018-03-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 093478-1 | NY | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
086538-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033634423 | Julie Ann Stark | Registered Nurse | 3510 Wakefield Dr, Bryan, TX 77808-1430 | 2017-08-07 |
| 1154580637 | Julie Ann Stark | Specialist | 110 South Alder Ave, Granite Falls, WA 98252 | 2008-06-09 |
| 1902018641 | Julie Stark | Family Medicine | 3475 So Alpine Rd, Physicians Immediate Care, Rockford, IL 61109-2604 | 2007-05-04 |
| 1851761217 | Julie Stark | Physician Assistant | 1215 E. Michigan Ave., 7th Fl Tower West, Lansing, MI 48912 | 2015-09-29 |
| 1740696053 | Julie Stark | Specialist | 3399 Winton Rd S, Rochester, NY 14623-3057 | 2014-07-08 |
| 1043576770 | Julie Elizabeth Stark | Pediatrics | 3601 The Vanderbilt Clinic, Nashville, TN 37232-3026 | 2012-04-06 |
| 1467638452 | Julie Marie Stark | Pharmacist | 100 Main St, C/o Cvs Pharmacy, Cooperstown, NY 13326-1225 | 2008-01-21 |
| 1689718017 | Julie Rachel Stark | Family Medicine | 2125 E Thousand Oaks Blvd, Suite A, Thousand Oaks, CA 91362-2942 | 2007-02-18 |
| Street Address |
111 NESCONSET HWY SUITE 108 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11788-2524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679122691 | Megan Breen | Occupational Therapist | 1363 E Veterans Memorial Hwy, # 8, Hauppauge, NY 11788 | 2019-09-11 |
| 1396300729 | Destination Dental Pllc | Dentist | 400 Townline Rd Ste 150, Hauppauge, NY 11788 | 2019-05-01 |
| 1285199612 | Juan Cardona | Registered Nurse | 99 Adams Ave, Hauppage, NY 11788 | 2019-02-11 |
| 1548737836 | Lauren Nicole Mateja | Physician Assistant | 7 Essex Drive, Hauppauge, NY 11788 | 2018-10-25 |
| 1174004477 | North Shore Anesthesia Group | Clinic/Center | 11-52 Engineers St, Haupphauge, NY 11788 | 2018-08-24 |
| 1891244414 | Donna Carrature | Technician, Other | 101 Old Post Drive, Hauppauge, NY 11788 | 2016-09-23 |
| 1427504455 | Jessica L Arnoux | Speech-Language Pathologist | 1363 Veterans Memorial Hwy #8, Metro Therapy, Hauppauge, NY 11788 | 2016-08-30 |
| 1548716871 | Angelica Lalota | Speech-Language Pathologist | 495 Hoffman Lane Suite #3, Hauppauge, NY 11788 | 2016-08-28 |
| 1831541440 | Melissa Modica | Behavioral Analyst | 9 Calico Tree Road, Hauppauge, NY 11788 | 2016-07-07 |
| 1588033377 | Corissa N Ceschini | Speech-Language Pathologist | 12 Don Ln, Hauppauge, NY 11788 | 2015-09-22 |
| Find all providers in zip 11788 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760008775 | Telemhealth Inc | Social Worker | 132 Grandview Ln, Smithtown, NY 11787-4264 | 2020-06-25 |
| 1902445810 | Aby George Chacko | Social Worker | 111 New York Ave, Smithtown, NY 11787-3482 | 2019-12-26 |
| 1013551001 | Marianne Halderman | Social Worker | 39 Bayberry Ln, Smithtown, NY 11787-3927 | 2019-11-01 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1104382969 | Theresa A Keane | Social Worker | 285 Middle Country Rd # Ll5, Smithtown, NY 11787-2978 | 2019-02-18 |
| 1770065971 | Lauren Stacie Mccabe Sperber | Social Worker | 20 Gilbert Ave Ste 101, Smithtown, NY 11787-5312 | 2018-09-04 |
| 1316449242 | Melissa G Shikora | Social Worker | 732 Smithtown Byp Ste 304, Smithtown, NY 11787-5020 | 2018-03-07 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1144767443 | Erica Jean Whitehurst | Social Worker | 30 South Ave, Smithtown, NY 11787-3845 | 2017-01-24 |
| 1104282110 | Thomas E. Conway, Lcsw, P.C. | Social Worker | 1050 W Jericho Tpke, Smithtown, NY 11787-3242 | 2016-01-06 |
| Find all providers in SMITHTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.