1. Home
  2. Directory
  3. New York
  4. Ithaca
  5. Social Worker
  6. NPI Profile

JASON STARK LCSW
NPI 1609998574
Social Worker - Clinical in Ithaca, NY

Active since April 04, 2007
903 HANSHAW RD, ITHACA, NY 14850(607) 592-2377 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jason Stark Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON STARK LCSW (NPI 1609998574) is an individual clinical provider in Ithaca, New York, licensed in New York (082965) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1609998574
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJASON STARKCredential: LCSW
Location Address903 HANSHAW RDIthaca, NY 14850-1530
Mailing Address903 Hanshaw RdIthaca, NY 14850-1530 · (607) 592-2377
Phone(607) 592-2377
Sole ProprietorYes
Enumeration DateApril 4, 2007
Last NPPES UpdateJuly 7, 2023
NPPES CertifiedJuly 7, 2023
✔ NPI 1609998574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 082965
Definition
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.
903 HANSHAW RD, Ithaca, NY 14850
Open in Google Maps ↗

Other Identifiers 2

Other079191-1NY · Nys
Other082965NY · Lcsw

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID SHAW FRAHM PSYCHOLOGIST
Psychologist
903 HANSHAW RD, SUITE 7
ITHACA, NY 14850
Tompkins County (607) 333-7337
MR. TIMOTHY DENNIS FOLEY L.AC
Acupuncturist
903 HANSHAW RD, SUITE 201
ITHACA, NY 14850
Tompkins County (607) 319-5454
CLARE JOANNE NICHOLETTI, LCSW
Specialist
903 HANSHAW RD
ITHACA, NY 14850
Tompkins County (607) 272-8572
DR. SARA KRANZLER PSYD
Psychologist
903 HANSHAW RD
ITHACA, NY 14850
Tompkins County (315) 497-7433
MS. COLEEN MARY OSBORNE L.AC
Acupuncturist
903 HANSHAW RD, SUITE 201
ITHACA, NY 14850
Tompkins County (607) 319-5454
SUSAN MICHLOVITZ PT
Physical Therapist
903 HANSHAW RD
ITHACA, NY 14850
Tompkins County (607) 229-2165

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Stark's NPI number?

The NPI number for Jason Stark is 1609998574. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is Jason Stark located?

Jason Stark practices at 903 Hanshaw Rd, Ithaca, NY 14850. The listed phone number is (607) 592-2377.

What is Jason Stark's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jason Stark was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.