Sherard Starks, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2020027643 Issued in MO

Practice address

403 NW 73Rd Ter
Kansas City, MO 64118-1682

Phone

(816) 352-7812

Fax

(816) 466-5374

NPI assigned

Sep 26, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1912482829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 NW 73RD TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641181682",
            "telephone_number": "816-352-7812",
            "fax_number": "816-466-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 NW 73RD TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641181682",
            "telephone_number": "816-352-7812",
            "fax_number": "816-466-5374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 Blue Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641302807",
            "country_code": "US",
            "telephone_number": "816-599-5612",
            "fax_number": "816-599-5978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARKS",
        "first_name": "SHERARD",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-26",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2018011512",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "108421",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010043A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2020027643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2018011512",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Stark
• Steven Paul Stark, M.D.
• Warren Carlton Stark, DO
• Hannah Elizabeth Starke, PLPC
• Gregory Charles Starks, MD
• Tarisha Starks, LPC
• Laura Starling, PA-C
• Sarah Lee Starnes, MSW
• Debra Pomroy Starr
• Kristin Starr

• Clinical Social Worker in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.