Individual provider Active NPI

Stephanie K. Starks, LISW-S

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1225454549
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1600116-SUPV Issued in OH
Practice address
175 S 3Rd St Ste 200
Columbus, OH 43215-5194
Phone
(614) 484-0919
Fax
(614) 484-7071
NPI assigned
Mar 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S1440100 OH
Clinical Social Worker 1041C0700X I.1600116-SUPV OH Primary

Addresses

Primary practice location

175 S 3Rd St Ste 200
Columbus, OH 43215-5194

Mailing address

175 S 3Rd St Ste 200
Columbus, OH 43215-5194
Phone (614) 484-0919

Other practice location 1

495 E Main St
Columbus, OH 43215-5349
Phone (614) 355-8005

Other identifiers 1

IdentifierTypeStateIssuer
2846675MedicaidOH

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

State licenses

LicenseStateTypeSpecialty
S1440100OHMDSocial Worker
I.1600116-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Starks Home Healthcare, LLC Current Accepting new patients
Starks Counseling and Consultation Services LLC Current Accepting new patients
Starks Counseling and Consultation Services Clinical Past Accepting new patients

Locations

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1225454549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 S 3RD ST STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155194",
            "telephone_number": "614-484-0919",
            "fax_number": "614-484-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S 3RD ST STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155194",
            "telephone_number": "614-484-0919",
            "fax_number": "614-484-7071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "495 E Main St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432155349",
            "country_code": "US",
            "telephone_number": "614-355-8005",
            "fax_number": "614-355-8030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARKS",
        "first_name": "STEPHANIE",
        "middle_name": "K.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1440100",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1600116-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2846675",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.