MRS. AMY J. STARK (NPI# 1053972554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053972554 |
| Entity Type | Individual |
| Full Name | MRS. AMY J. STARK |
| Credential | LCSW |
| Practice Address |
12141 Ladue Rd. Saint Louis MO 63141-8120 |
| Mailing Address |
12141 Ladue Rd Saint Louis MO 63141-8120 |
| Practice Telephone | 3143361011 |
| Practice Fax Number | 3148784524 |
| Mailing Telephone | 3143361011 |
| Mailing Fax Number | 3148784524 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2019020274 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538456850 | Amy J Stark | Massage Therapist | 6312 N Oberlin St, Portland, OR 97203-4153 | 2011-07-07 |
| 1093882854 | Amy Louise Stark | Psychologist | 940 W 17th St, Unit C, Santa Ana, CA 92706-4501 | 2006-11-29 |
| 1992233548 | Amy Jean Stark | Counselor | 12000 N Virginia Ave, Oklahoma City, OK 73120-7581 | 2017-05-26 |
| 1750819447 | Amy Marie Stark | Registered Nurse | 901 E 104th St, Kansas City, MO 64131 | 2017-05-25 |
| 1477098754 | Amy Stark | Nurse Practitioner | 525 N Keene St, Columbia, MO 65201-6967 | 2016-12-22 |
| 1528438546 | Amy Stark | Psychologist | 462 Herndon Pkwy, Suite 202, Herndon, VA 20170-5233 | 2015-10-02 |
| 1376988378 | Amy Leigh Stark | Psychiatry & Neurology | 1400 Wallace Blvd, Amarillo, TX 79106-1708 | 2013-05-03 |
| 1437464294 | Amy Stark | Dentist | 606 24th Ave S Ste 200, Minneapolis, MN 55454-1437 | 2010-08-17 |
| 1063593408 | Amy Stark | Occupational Therapist | 9699 W Sample Rd, Coral Springs, FL 33065-4001 | 2006-10-18 |
| Street Address |
12141 LADUE RD. |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-8120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033280144 | Ellen Marting Jayaprabhu | Marriage & Family Therapist | 12141 Ladue Rd., Saint Louis, MO 63141 | 2006-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097182 | Laura Ranalletta | Social Worker | 877 Queen Anne Pl, Saint Louis, MO 63122-3143 | 2020-09-11 |
| 1861007502 | Helene Foster Platke | Social Worker | 11681 Summerhaven Dr, Saint Louis, MO 63146-5441 | 2020-09-10 |
| 1063027811 | Elizabeth Stonefield | Social Worker | 8188 Middlevalley Trl, Saint Louis, MO 63123-2415 | 2020-09-09 |
| 1770195729 | Kyla Hadenfeldt | Social Worker | 4562a Loughborough Ave, Saint Louis, MO 63116-1131 | 2020-08-20 |
| 1093327587 | Lori B Goldenberg | Social Worker | 3 Winfield Pointe Ln, Saint Louis, MO 63141-7710 | 2020-08-18 |
| 1831701473 | Michael David Galvin | Social Worker | 3425 Humphrey St, Saint Louis, MO 63118-2720 | 2020-08-17 |
| 1265043376 | Matt Fanning | Social Worker | 9378 Olive Blvd Ste 205, Saint Louis, MO 63132-3223 | 2020-08-12 |
| 1235748765 | Celia Rose Mcmanus | Social Worker | 10004 Kennerly Rd Ste 280b, Saint Louis, MO 63128-2177 | 2020-07-30 |
| 1841809019 | Danielle Denise Collins | Social Worker | 12360 Creek Run Dr Apt M, Saint Louis, MO 63141-6579 | 2020-07-23 |
| 1730797176 | Jill Louise Medintz | Social Worker | 130 S Bemiston Ave Ste 704a, Saint Louis, MO 63105-1913 | 2020-07-22 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.