Stark, Madeline A

Stark, Madeline A is an individual health care provider with primary practice located at 1225 St Francis Dr Suite F , Santa Fe NM 87505. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Stark, Madeline A can be contacted via phone (505) 989-7777.

Contact Information

Primary practice address
1225 St Francis Dr Suite F Santa Fe NM 87505
Phone: (505) 989-7777
Fax: (505) 989-4357
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X NM3807 New Mexico

Profile Details

NPI number 1255497285
LBN Legal business name Stark, Madeline A
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255497285 NPPES
New Mexico MEDICAID NM101190

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