Active NPI
Alice Elizabeth Stark, LICSW,MHP,CMHS, PHD
- Clinical Social Worker
- Chico, CA
National Provider Identifier
1063720191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 60626355
- Practice address
- 592 Rio Lindo Ave
Chico, CA 95926-1817 - Phone
- (530) 966-2381
- NPI assigned
- Sep 23, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW105689 | CA | |
| Clinical Social Worker | 1041C0700X | 60626355 | WA | Primary |
Addresses
Primary practice location
592 Rio Lindo Ave
Chico, CA 95926-1817
Mailing address
PO Box 1805
Chico, CA 95927-1805
Phone (530) 447-2444
Other practice location 1
PO Box 1805
Chico, CA 95927-1805
Phone (530) 382-1645
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2171336 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW105689 | CA | MD | Clinical Social Worker |
| 60626355 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| You Grow Girl | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Seattle, WA
- NPI 1114367521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1063720191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1805",
"city": "CHICO",
"state": "CA",
"postal_code": "959271805",
"telephone_number": "530-447-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "592 RIO LINDO AVE",
"city": "CHICO",
"state": "CA",
"postal_code": "959261817",
"telephone_number": "530-966-2381"
}
],
"practiceLocations": [
{
"address_1": "PO Box 1805",
"address_purpose": "LOCATION",
"city": "Chico",
"state": "CA",
"postal_code": "959271805",
"country_code": "US",
"telephone_number": "530-382-1645",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STARK",
"first_name": "ALICE",
"middle_name": "ELIZABETH",
"credential": "LICSW,MHP,CMHS, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-23",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW105689",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "60626355",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2171336",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.