Jenna Nicole Stark LICSW

  • NPI 1114350709
According to our database, the NPI number for Jenna Nicole Stark LICSW is 1114350709 and activated since 10 years ago. Jenna Nicole Stark LICSW is an individual provider who specializes in Clinical, and the primary practice location is 75 Mount Auburn Street, Cambridge, MA 02138. You can also contact Jenna Nicole Stark LICSW via telephone number is (603) 455-2251. Provider NPI information was last updated on 08/19/2013.

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Overview of Jenna Nicole Stark LICSW

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 08/19/2013
  • Last updated: 08/19/2013

Primary Scrop of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 117673
  • License State: MA

Provider Mailing Address

  • Address: 47 Harvard Street
    Apartment A206
    Boston, MA 02129
  • Phone: 603-455-2251
  • Fax:

Provider Practice Location

  • Address: 75 Mount Auburn Street
    Cambridge, MA 02138
  • Phone: 603-455-2251
  • Fax:

Scope of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 117673
  • License State: MA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jenna Nicole Stark LICSW?
  • A: The npi number for Jenna Nicole Stark LICSW is 1114350709.
  • Q: What are Jenna Nicole Stark LICSW's specialties?
  • A: Jenna Nicole Stark LICSW's specialties are Clinical and different specialities.
  • Q: What is the medical license for Jenna Nicole Stark LICSW?
  • A: The medical license number for Jenna Nicole Stark LICSW is 117673 and issued in MA in USA.
  • Q: Where is Jenna Nicole Stark LICSW practice location?
  • A: Jenna Nicole Stark LICSW is practicing at 75 Mount Auburn Street, Cambridge, MA 02138.
  • Q: How to contact Jenna Nicole Stark LICSW?
  • A: You can contact Jenna Nicole Stark LICSW via 603-455-2251.
Medicare Specialty
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Sports Medicine
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