Active NPI
Kathleen Stark
- Clinical Social Worker
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1700 N Illinois St
Indianapolis, IN 46202-1316 - Phone
- (317) 880-8491
- NPI assigned
- Oct 15, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1700 N Illinois St
Indianapolis, IN 46202-1316
Mailing address
PO Box 637764
Cincinnati, OH 45263-7764
Phone (317) 880-3939
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kstark45123@direct.eskenazihealth.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211022000996 | IN | Practitioner - Clinical Social Worker | 0244628378 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
720 Eskeanzi Ave
Indianapolis, IN 46202-5166
Phone (317) 880-0000
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 94.43
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Health and Hospital Corporation of Marion County | Current | Accepting new patients | |
| The Health and Hospital Corporation of Marion County | Current | Accepting new patients | |
| The Health and Hospital Corporation of Marion County | Past | Accepting new patients |
Locations
720 Eskenazi Ave
Bldg 5TH
Indianapolis, IN 46202
Phone (317) 880-3818
720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000
3171 N Meridian St
Indianapolis, IN 46208
Phone (317) 941-5003
1700 N Illinois St
Indianapolis, IN 46202
Phone (317) 554-5700
5610 Crawfordsville Rd
Ste 2201
Indianapolis, IN 46224
Phone (317) 244-2792
832 N Meridian St
Indianapolis, IN 46204
Phone (317) 287-3729
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759190400000",
"number": "1093478281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 637764",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452637764",
"telephone_number": "317-880-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 N ILLINOIS ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021316",
"telephone_number": "317-880-8491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARK",
"first_name": "KATHLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-15",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kstark45123@direct.eskenazihealth.edu",
"affiliation": "N",
"address_1": "832 N Meridian St",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462041108",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.