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

Jenna Nicole Stark, LICSW

Individual provider Clinical Social Worker · NPI 1114350709

Jenna Nicole Stark, LICSW is a Clinical Social Worker in Cambridge, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2013.

Licensed in
MA
In the registry since
2013
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

75 Mount Auburn St
Cambridge, MA 02138
Phone: (603) 455-2251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 117673 (MA)

Record details

NPI number1114350709
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 19, 2013
Last updated in NPPESAugust 19, 2013

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