NICOLE MARIE STARK (MSW, LCSW) – Clinical Social Worker, NPI 1528320181
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,711 CLINICAL SOCIAL WORKER in IN
Provider Addresses for NICOLE MARIE STARK (MSW, LCSW)
5335 SMITHLAND RD
SHELBYVILLE, IN 461769615
Phone: (317) 502-4516
Type: Mailing
8606 ALLISONVILLE RD STE 120
INDIANAPOLIS, IN 462503585
Phone: (317) 951-9358
Fax: (317) 663-2524
Type: Mailing
66 WEST ST
PITTSFIELD, MA 012015861
Phone: (413) 343-4264
Type: Location
4020 W Goeller Blvd
Columbus, IN 472018273
Phone: (812) 408-8442
Fax: (317) 663-2524
Type: Location
8606 Allisonville Rd Ste 120
Indianapolis, IN 462503585
Phone: (317) 951-9358
Fax: (317) 663-2524
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-05-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141229000187 | I | Clinical Social Worker | IN | TBD |
| I20241021000876 | I | Clinical Social Worker | MA | TBD |
| I20250530002686 | I | Clinical Social Worker | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46176)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist | IN | |
| Clinical Social Worker | IN | |
| Clinical Social Worker | IN | |
| Mental Health Counselor | IL | |
| Clinical Social Worker | IN | |
| Clinical Psychologist | IN | |
| Clinical Social Worker | IN | |
| Mental Health Counselor | IN |
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