Provider Demographics
NPI:1396081683
Name:STONE, STARLA D (LICSW)
Entity type:Individual
Prefix:MRS
First Name:STARLA
Middle Name:D
Last Name:STONE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10614
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98909-1614
Mailing Address - Country:US
Mailing Address - Phone:509-895-6025
Mailing Address - Fax:509-424-3421
Practice Address - Street 1:1006 S 50TH AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-3716
Practice Address - Country:US
Practice Address - Phone:509-895-6025
Practice Address - Fax:509-424-3421
Is Sole Proprietor?:No
Enumeration Date:2012-12-14
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW604025651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical