Amy J. Stark, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AMY J. STARK, LLC

Practice address

9666 Olive Blvd Ste 370
Olivette, MO 63132-3025

Phone

(314) 971-5272

NPI assigned

Jun 30, 2023

Last updated

Jun 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy J. Stark, LCSWNPI 1053972554

Title

Therapist/Manager/Sole Member

Phone

(314) 971-5272

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy J. Stark, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1053972554
  NPD Authorized official

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1346927308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 CHIPPENDALE CT",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631225705",
            "telephone_number": "314-971-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9666 OLIVE BLVD STE 370",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "631323025",
            "telephone_number": "314-971-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY J. STARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "THERAPIST/MANAGER/SOLE MEMBER",
        "authorized_official_telephone_number": "314-971-5272",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elodie Andrews, LCSW
• Sydney Dale Aragon
• Rachel Asare

• Clinical Social Worker in Olivette, MO
• Providers in Olivette, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.