Individual provider Active NPI

Julie L. Stark, MSW, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1790164812
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086538-1 Issued in NY
Practice address
5301 N Federal Hwy Ste 380
Boca Raton, FL 33487-4916
Phone
(646) 696-0011
NPI assigned
May 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 086538-1 NY Primary
Social Worker 104100000X 093478-1 NY

Addresses

Primary practice location

5301 N Federal Hwy Ste 380
Boca Raton, FL 33487-4916

Mailing address

5301 N Federal Hwy Ste 380
Boca Raton, FL 33487-4916
Phone (646) 696-0011

Other practice location 1

5301 N Federal Hwy Ste 380
Boca Raton, FL 33487-4916
Phone (646) 696-0011

Other practice location 2

100 Mariners Way # 100
Port Jefferson, NY 11777-1848
Phone (646) 696-0011

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
093478-1NYMDSocial Worker
086538-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Psychotherapy Counseling LCSW, PLLC Current Accepting new patients

Locations

5301 N Federal Hwy
Ste 380
Boca Raton, FL 33487
Phone (561) 279-5599

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1790164812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 N FEDERAL HWY STE 380",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334874916",
            "telephone_number": "646-696-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 N FEDERAL HWY STE 380",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334874916",
            "telephone_number": "646-696-0011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 N Federal Hwy Ste 380",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334874916",
            "country_code": "US",
            "telephone_number": "646-696-0011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Mariners Way # 100",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson",
            "state": "NY",
            "postal_code": "117771848",
            "country_code": "US",
            "telephone_number": "646-696-0011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARK",
        "first_name": "JULIE",
        "middle_name": "L.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-21",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086538-1",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "093478-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.