David J Stark, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

053 Issued in KS

Practice address

940 N Waco Ave
Wichita, KS 67203-3947

Phone

(316) 660-7550

Fax

(316) 383-8241

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of SedgwickGroup PAC ID 2961304779, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• County of Sedgwick

  • Public Health or Welfare Agency
  • Wichita, KS
  • NPI 1629281373

  KS

  Medicare reassignment Care Compare group NPD
• County of Sedgwick

  • Case Management Agency
  • Wichita, KS
  • NPI 1679610539
  NPD
• County of Sedgwick

  • Mental Health Counselor
  • Wichita, KS
  • NPI 1831180033
  NPD
• County of Sedgwick

  • Addiction (Substance Use Disorder) Counselor
  • Wichita, KS
  • NPI 1376624775
  NPD (past)
• County of Sedgwick

  • Public Health or Welfare Agency
  • Wichita, KS
  • NPI 1598943714
  NPD (past)
• County of Sedgwick

  • Community/Behavioral Health Agency
  • Wichita, KS
  • NPI 1982351706
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1285686998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 N WATER ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033838",
            "telephone_number": "316-660-7600",
            "fax_number": "316-941-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 N WACO AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033947",
            "telephone_number": "316-660-7550",
            "fax_number": "316-383-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "5836",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "830153",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Stanton
• Sheersty Stanton, MS, LMFT
• Maria Beth Staples, M.S., CCC-SLP
• David Stapleton, MD
• Dane Michael Stark, PT
• Tracy Stark, COTA
• Jonathon Starke, DPT
• Starkey Inc
• Starkey Inc
• Starkey, Inc.

• Clinical Social Worker in Wichita, KS
• Providers in Wichita, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.

Verify at the official NPI Registry.