Charles Rodney Stirk, LPC, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13317 Issued in TX

Practice address

248 Academy
New Bruanfels, TX 78130-5610

Phone

(830) 708-0731

NPI assigned

Aug 8, 2008

Last updated

Aug 8, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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.

• Kearley & Schmitt PLLC

  • Clinical Social Worker
  • Austin, TX
  • NPI 1063522498
  NPD (past)

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218153600000",
    "number": "1952557175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 ACADEMY",
            "city": "NEW BRUANFELS",
            "state": "TX",
            "postal_code": "781305610",
            "telephone_number": "830-708-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 ACADEMY",
            "city": "NEW BRUANFELS",
            "state": "TX",
            "postal_code": "781305610",
            "telephone_number": "830-708-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIRK",
        "first_name": "CHARLES",
        "middle_name": "RODNEY",
        "credential": "LPC, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "5265",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "13317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.