Alice Elizabeth Stark, LICSW,MHP,CMHS, PHD is a
Social Worker - Clinical based in Chico, California. Alice Elizabeth Stark is licensed to practice in Washington (license number 60626355) and her current practice location is
1121 Laburnum Ave, Chico, California. She can be reached at her office (for appointments etc.) via phone at
(530) 321-2595.
NPI number for Alice Elizabeth Stark is 1063720191 and her current mailing address is Po Box 1805, Chico, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063720191.
Healthcare Provider's Profile
| Full Name | Alice Elizabeth Stark |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1121 Laburnum Ave, Chico, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1063720191
- Provider Enumeration Date: 09/23/2010
- Last Update Date: 09/21/2022
Medical Identifiers
Medical identifiers for Alice Elizabeth Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063720191 | NPI | - | NPPES |
| 2171336 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW105689 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 60626355 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alice Elizabeth Stark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Alice Elizabeth Stark, LICSW,MHP,CMHS, PHD
Po Box 1805,
Chico, CA 95927-1805
Ph: (530) 447-2444 | Alice Elizabeth Stark, LICSW,MHP,CMHS, PHD
1121 Laburnum Ave,
Chico, CA 95926-3465
Ph: (530) 321-2595 |
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