Individual provider Active NPI

Michael Starr, LICSW

  • Clinical Social Worker
  • Huntington, WV
National Provider Identifier
1902157688
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1415 6TH Ave
Huntington, WV 25701-2420
Phone
(304) 523-1142
Fax
(304) 523-2966
NPI assigned
Sep 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1415 6TH Ave
Huntington, WV 25701-2420

Mailing address

1415 6TH Ave
Huntington, WV 25701-2420
Phone (304) 523-1142

Other practice location 1

15 Horseblock Pl
Farmingville, NY 11738-1204
Phone (631) 854-2552

Other practice location 2

998 Crooked Hill Rd
Brentwood, NY 11717-1019
Phone (631) 761-3102

Other identifiers 1

IdentifierTypeStateIssuer
1902157688MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WV, OH, KY, DC5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20210312000185 NY Practitioner - Clinical Social Worker 5395151526 Reassigns benefits to 2 organizations
I20230310000751 WV Practitioner - Clinical Social Worker 5395151526 Reassigns benefits to 3 organizations
I20250724001426 OH Practitioner - Clinical Social Worker 5395151526 Reassigns benefits to 1 organization
I20250729004612 KY Practitioner - Clinical Social Worker 5395151526 Reassigns benefits to 1 organization
I20250811001937 DC Practitioner - Clinical Social Worker 5395151526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Health IncGroup PAC ID 9234525098, 213 clinicians
Huntington Mental Health Associates IncGroup PAC ID 5193637734, 4 clinicians

Practice addresses (Care Compare)

Clarksburg, WV 26301
Phone (415) 360-3348

1415 6TH Ave
Huntington, WV 25701-2420
Phone (681) 464-2001

4931 Dempsey Dr
Cross Lanes, WV 25313-2001
Phone (304) 451-5759

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
088027NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nys Office of Mental Health CurrentSince Dec 8, 2020 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jun 13, 2025 Accepting new patients
Brightside Health, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Rise Life Enrichment and Consulting Services LLC Clinical CurrentSince Oct 1, 2025 Accepting new patients
Nys Office of Mental Health CurrentSince Dec 8, 2020 Accepting new patients
Huntington Mental Health Associates, Inc. CurrentSince Oct 27, 2022 Accepting new patients
Huntington Mental Health Associates, Inc. Clinical CurrentSince Oct 27, 2022 Accepting new patients
Ehome Behavioral Care Social Worker Past Accepting new patients
Huntington Mental Health Associates, Inc. Past Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

1140 3rd St NE
Washington, DC 20002
Phone (202) 935-1033

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

998 Crooked Hill Rd
West Brentwood, NY 11717
Phone (631) 306-5732

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

501 Stockton St
Charleston, WV 25387
Phone (304) 720-4466

504 Emily Dr
Clarksburg, WV 26301
Phone (304) 404-4099

1415 6th Ave
Huntington, WV 25701
Phone (304) 523-1142

Organizations & group practices 9

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": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1902157688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 6TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012420",
            "telephone_number": "304-523-1142",
            "fax_number": "304-523-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 6TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012420",
            "telephone_number": "304-523-1142",
            "fax_number": "304-523-2966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Horseblock Pl",
            "address_purpose": "LOCATION",
            "city": "Farmingville",
            "state": "NY",
            "postal_code": "117381204",
            "country_code": "US",
            "telephone_number": "631-854-2552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "998 Crooked Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "NY",
            "postal_code": "117171019",
            "country_code": "US",
            "telephone_number": "631-761-3102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARR",
        "first_name": "MICHAEL",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-21",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902157688",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.