PEGGY STARK (NPI# 1730605999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730605999 |
| Entity Type | Individual |
| Full Name | PEGGY STARK |
| Credential | LCSW |
| Practice Address |
320 Mac Blvd Nevada MO 64772-3990 |
| Mailing Address |
1800 Community Clinton MO 64735-8804 |
| Practice Telephone | 8884031071 |
| Practice Fax Number | 4176676515 |
| Mailing Telephone | 6608858131 |
| Enumeration Date | 2017-08-19 |
| Last Update Date | 2020-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2020008501 | MO | Behavioral Health & Social Service Providers |
| Street Address |
320 MAC BLVD |
| City | NEVADA |
| State | MO |
| Zip Code | 64772-3990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164400594 | Mohammad A Rasheed | Psychiatry & Neurology | 320 Mac Blvd, Nevada, MO 64772-3990 | 2006-01-05 |
| 1063020360 | Jessica Marie La Falce | Social Worker | 320 Mac Blvd, Nevada, MO 64772-3990 | 2020-07-22 |
| 1932664927 | Sammie Bishop | Licensed Practical Nurse | 320 Mac Blvd, Nevada, MO 64772-3990 | 2019-02-05 |
| 1942746052 | Compass Health, Inc. | Clinic/Center | 320 Mac Blvd, Nevada, MO 64772-3990 | 2017-01-12 |
| 1215470901 | Michelle L. Jennings | Registered Nurse | 320 Mac Blvd, Nevada, MO 64772-3990 | 2016-11-29 |
| 1023446812 | Janice M Hendrix | Counselor | 320 Mac Blvd, Nevada, MO 64772-3990 | 2013-10-15 |
| 1609119957 | Cody Lee Bond | Psychologist | 320 Mac Blvd, Nevada, MO 64772 | 2013-04-04 |
| 1922358613 | Brett Christopher Miller | Psychologist | 320 Mac Blvd, Nevada, MO 64772-3990 | 2012-09-11 |
| 1427254366 | Rick Allen Miller | Counselor | 320 Mac Blvd, Nevada, MO 64772 | 2007-06-26 |
| 1295799328 | Shirlee J Lyons | Counselor | 320 Mac Blvd, Nevada, MO 64772-3990 | 2006-04-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184116170 | Elizabeth Hoang | Dentist | 14054 Us-54, Nevada, MO 64772 | 2018-06-05 |
| 1376056424 | Chelsea Deines | Social Worker | 19940 S. 1481 Road, Nevada, MO 64772 | 2017-11-13 |
| 1558712422 | Ozark Tri County Healthcare Consortium | Dentist | 204 N Cedar, Nevada, MO 64772 | 2016-06-22 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1205233129 | Julie Ann Parker | Dental Hygienist | 204 North Cedar, Nevada, MO 64772 | 2014-11-20 |
| 1023432101 | Ashley Mckinney | Speech-Language Pathologist | 811 W Hickory, Nevada, MO 64772 | 2014-02-11 |
| 1477975183 | Krc 1505 Health Care Services LLC | Assisted Living Facility | 1505 East Ashland Street, Nevada, MO 64772 | 2014-01-15 |
| 1649520727 | Kathy J Hallam | Registered Nurse | 320 N Mac Boulevard, Nevada, MO 64772 | 2012-09-14 |
| 1396090916 | Emily Lane | Speech-Language Pathologist | 16927 S 1413 Rd, Nevada, MO 64772 | 2012-07-19 |
| 1427385517 | Nevada City Hospital | Clinic/Center | 345 S Barrett Ln., Nevada, MO 64772 | 2009-11-10 |
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| 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 |
|---|---|---|---|---|
| 1447446109 | Mary F. Herstein | Social Worker | 406 North Perkins St, Mary F. Herstein, Nevada, MO 64772 | 2007-09-17 |
| 1346260395 | Susanne Platt | Social Worker | 300 W Cherry St, Nevada, MO 64772-2202 | 2006-07-20 |
| 1093324048 | Amanda Tompkins | Social Worker | 815 S Ash St, Nevada, MO 64772-3222 | 2020-07-27 |
| 1063020360 | Jessica Marie La Falce | Social Worker | 320 Mac Blvd, Nevada, MO 64772-3990 | 2020-07-22 |
| 1386205896 | Kelsey D. Tomlin | Social Worker | 1500 W Ashland St, Nevada, MO 64772-1710 | 2019-06-25 |
| 1811349749 | Hannah Overstake | Social Worker | 1229 S G Ave, Nevada, IA 50201-2778 | 2016-07-03 |
| 1225443633 | Callie Randel | Social Worker | 1500 W Ashland St, Nevada, MO 64772-1710 | 2014-06-24 |
| 1639593957 | Heath Aaron Baker | Social Worker | 1500 W Ashland St, Nevada, MO 64772-1710 | 2014-02-06 |
| 1053666552 | Dewey Michael Morris | Social Worker | 1500 W Ashland St, Nevada, MO 64772-1710 | 2012-07-20 |
| 1205119013 | Jennifer Elizabeth Corbin-daulton | Social Worker | 1500 W Ashland St, Nevada, MO 64772-1710 | 2011-09-28 |
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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.