Individual provider Active NPI

Cecilia Marie Stark, PCSW

  • Clinical Social Worker
  • Casper, WY
National Provider Identifier
1669040838
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
932 Issued in WY
Practice address
PO Box 2984
Casper, WY 82602-2984
Phone
(307) 315-8100
NPI assigned
Jun 15, 2021
Last updated
May 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 932 WY Primary

Addresses

Primary practice location

PO Box 2984
Casper, WY 82602-2984

Mailing address

PO Box 2984
Casper, WY 82602-2984
Phone (307) 315-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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

Enrollment IDStateProvider typePAC IDDetails
I20250520004594 WY Practitioner - Clinical Social Worker 2365960507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brain Injury Association of WyomingGroup PAC ID 9638693658, 2 clinicians

Practice addresses (Care Compare)

Casper, WY 82601
Phone (307) 473-1767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
932WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Injury Association of Wyoming Clinical CurrentSince May 13, 2025 Accepting new patients
Children's Advocacy Project Inc Clinical PastSince Jun 1, 2021 Accepting new patients

Locations

350 Big Horn Rd
Ste 101
Casper, WY 82601
Phone (307) 473-1767

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1669040838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2984",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826022984",
            "telephone_number": "307-315-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 2984",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826022984",
            "telephone_number": "307-315-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "CECILIA",
        "middle_name": "MARIE",
        "credential": "PCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.