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

Nicole Marie Stark, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1528320181

Nicole Marie Stark, MSW, LCSW is a Clinical Social Worker in Pittsfield, Massachusetts. Qualified in 2012, 14 years ago. Practices with Be Authentic Indy LLC, an 8-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana and Massachusetts.

Years since qualifying
14
Licensed in
IN, MA
In the registry since
2012
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

66 W St
Pittsfield, MA 01201-5861
Phone: (413) 343-4264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4020 W Goeller Blvd, Columbus, IN 47201-8273 — (812) 408-8442
  • 8606 Allisonville Rd Ste 120, Indianapolis, IN 46250-3585 — (317) 951-9358

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34007088A (IN)
Clinical Social Worker Taxonomy 1041C0700X · Licence LICSW128164 (MA)

Record details

NPI number1528320181
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorNo
NPI enumeratedJune 11, 2012
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Be Authentic Indy Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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