| Mrs Jennifer Dawn Stark, MSW, LICSW | |
|
15 Grant St, Petersburg, WV 26847-1687 | |
| (304) 263-0811 | |
| Not Available |
| Full Name | Mrs Jennifer Dawn Stark |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 15 Grant St, Petersburg, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275720260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CP00939358 (West Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | DP00939358 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer Dawn Stark, MSW, LICSW Po Box 21, Riverton, WV 26814-0021 Ph: (304) 567-3167 | Mrs Jennifer Dawn Stark, MSW, LICSW 15 Grant St, Petersburg, WV 26847-1687 Ph: (304) 263-0811 |
Ashley M Rexrode, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7 Mountain View St, Petersburg, WV 26847 Phone: 304-257-1155 | |
Paula J Combs, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7 Mountain View St, Petersburg, WV 26847 Phone: 304-257-1155 | |
Anna Lear, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7 Mountain View St, Petersburg, WV 26847 Phone: 304-257-1155 | |
Marlene Franchini Kline, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 204 Virginia Ave, Petersburg, WV 26847 Phone: 304-257-2584 | |
Ms. Lucretia Goldizen Edge, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6 Park St, Petersburg, WV 26847 Phone: 304-257-1155 | |
Corey Nau, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7 Mountain View St, Petersburg, WV 26847 Phone: 304-257-1155 |