Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deborah Dillard-Stark, LCSW

Individual provider Clinical Social Worker · NPI 1336110758

Deborah Dillard-Stark, LCSW is a Clinical Social Worker in Columbus, Indiana. Qualified in 1976, 50 years ago. Practices with Be Authentic Indy LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
50
Licensed in
IN
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

720 N Marr Rd
Columbus, IN 47201-6660
Phone: (812) 314-3400
Fax: (812) 376-4875
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34001484A (IN)

Record details

NPI number1336110758
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 1, 2006
Last updated in NPPESJuly 31, 2023
Certification dateJuly 31, 2023
Mailing address645 S Rogers St, Bloomington, IN 47403-2353

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1976 (50 years in practice)
Group practice Be Authentic Indy Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Columbus