Active NPI
Michael Joseph Starks, LMSW
- Social Worker
- Hamburg, NY
National Provider Identifier
1629324876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 089182-1
- Practice address
- 7071 Boston State Rd
Hamburg, NY 14075-6610 - Phone
- (716) 563-1633
- Fax
- (888) 910-2313
- NPI assigned
- Jul 25, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 089182-1 | NY | Primary |
Addresses
Primary practice location
7071 Boston State Rd
Hamburg, NY 14075-6610
Mailing address
7071 Boston State Rd
Hamburg, NY 14075-6610
Phone (716) 563-1633
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
| License | State | Type | Specialty |
|---|---|---|---|
| 089182-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709856000000",
"number": "1629324876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7071 BOSTON STATE RD",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140756610",
"telephone_number": "716-563-1633",
"fax_number": "888-910-2313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7071 BOSTON STATE RD",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140756610",
"telephone_number": "716-563-1633",
"fax_number": "888-910-2313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARKS",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-25",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "089182-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.