Starks Therapy Group

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.014692 Issued in IL

Legal business name

STARKS THERAPY GROUP

Practice address

1122 Westgate St
201A
Oak Park, IL 60301

Phone

(708) 689-9568

NPI assigned

Oct 5, 2017

Organization subpart

No

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

Authorized official

Name

Autumn Starks, LCSW

Title

Owner

Phone

(708) 689-9568

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507161600000",
    "number": "1346750270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 WESTGATE ST",
            "address_2": "201A",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "60301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 WESTGATE ST",
            "address_2": "201A",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "60301",
            "telephone_number": "708-689-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARKS THERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A",
        "authorized_official_last_name": "STARKS",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-689-9568",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.009523",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Therese Stamm, LPC
• Olga Marie Stamp Rubio
• Carol Stanley, APN FNP-BC
• Amy Christine Starin, MSW, LCSW
• Patricia J Starkey, DPT
• Autumn E Starks, LCSW
• Meredith Starnes
• Stat Tbi and Concussion Diagnostics
• Katherine Staub, SLP
• Amy Elizabeth Stearns, PH.D.

• Clinical Social Worker in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.