Stephanie Marie Starks, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801114189 Issued in MI

Practice address

230 Collingwood St Ste 250
Ann Arbor, MI 48103-3845

Phone

(248) 581-8777

Fax

(888) 975-9374

NPI assigned

Jul 18, 2019

Last updated

May 27, 2022By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Breathe Therapy LLC

  • Mental Health Counselor
  • Ann Arbor, MI
  • NPI 1083397962
  NPD Authorized official

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1780237834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 WILD DUNES PATH",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "491279397",
            "telephone_number": "269-930-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 COLLINGWOOD ST STE 250",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033845",
            "telephone_number": "248-581-8777",
            "fax_number": "888-975-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARKS",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801114189",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780237834",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Drew Michael Stapleton, LLMSW
• Casandra Maria Starback, LMSW
• Hannah Mackenzie Starbuck, MD
• Alyssa Starkey
• Monica N Starkman, MD
• Starlight Psychotherapy LLC
• Catherine Elizabeth Starr, LMSW
• Katherine Allison Starr, MD
• Kelly Nichols Starr, CCC-SLP
• Joshua James Startup, M.D

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.