Michelle Stark, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7505 Issued in TN

Practice address

41419 Pear St
Ste 1
Murrieta, CA 92562-7016

Phone

(909) 999-0153

NPI assigned

Apr 16, 2015

Sex

Female

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

Enrolled in CA, TN, TX, DC, AZ5 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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  AZ, Clinical, DC, TN, TX

  Medicare reassignment NPD
• TP-Health Incorporated

  • Psychiatry Physician
  • Missouri City, TX
  • NPI 1760047526

  Multi-Specialty

  Medicare reassignment NPD
• TP-Health Ca PC

  • Psychiatry Physician
  • Anaheim, CA
  • NPI 1336785187
  Medicare reassignment

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1972990067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 285",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925640285",
            "telephone_number": "909-225-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41419 PEAR ST",
            "address_2": "STE 1",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925627016",
            "telephone_number": "909-999-0153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9019 Overlook Blvd Ste C1A",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370275351",
            "country_code": "US",
            "telephone_number": "615-435-9024",
            "fax_number": "615-891-7644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARK",
        "first_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "22497",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "7505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Stainer, B.A.
• Meerweis Stanisai
• Stanley Armbruster D.D.S.
• Cassie Jean Stanton, PA-C
• Star Rehabilitation Corp
• Joy Starr
• Nadia Steele, FNP
• Susan Steele
• Christina M Steinhauser, D.O.
• Kristen Stennett, MSW

• Clinical Social Worker in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.