MRS. MARCY A STIDUM (NPI# 1851497036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851497036 |
| Entity Type | Individual |
| Full Name | MRS. MARCY A STIDUM |
| Credential | LCSW |
| Practice Address |
153 Independence Dr Carrollton GA 30116-9000 |
| Mailing Address |
122 Gordon Commercial Dr # C Lagrange GA 30240-5740 |
| Practice Telephone | 7708366678 |
| Practice Fax Number | 7708362266 |
| Mailing Telephone | 7068454045 |
| Mailing Fax Number | 7068454312 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW003490 | GA | Behavioral Health & Social Service Providers |
| Street Address |
153 INDEPENDENCE DR |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30116-9000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922797 | Brittany Miles | Social Worker | 153 Independence Dr, Carrollton, GA 30116-9000 | 2020-11-02 |
| 1346858644 | Amanda Gayle Chambers | Licensed Practical Nurse | 153 Independence Dr, Carrollton, GA 30116-9000 | 2020-07-22 |
| 1073149159 | Pamela Arrington | Licensed Practical Nurse | 153 Independence Dr, Carrollton, GA 30116-9000 | 2020-03-20 |
| 1316587579 | Matthew Trev Parry | Counselor | 153 Independence Dr, Carrollton, GA 30116-9000 | 2020-01-15 |
| 1194368803 | Heather G James | Peer Specialist | 153 Independence Dr, Carrollton, GA 30116-9000 | 2019-10-25 |
| 1568019487 | Katherine Elizabeth Adams | Counselor | 153 Independence Dr, Carrollton, GA 30116-9000 | 2019-08-26 |
| 1932752607 | Amanda Simpson | Counselor | 153 Independence Dr, Carrollton, GA 30116-9000 | 2019-07-22 |
| 1619530037 | Maxine Prince | Counselor | 153 Independence Dr, Carrollton, GA 30116-9000 | 2019-04-22 |
| 1952884967 | Kisha Griffin Farris | Social Worker | 153 Independence Dr, Carrollton, GA 30116-9000 | 2018-09-14 |
| 1255836524 | Staci Leeann Richards | Behavior Technician | 153 Independence Dr, Carrollton, GA 30116-9000 | 2018-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518338300 | Carri Stewart | Specialist/Technologist | 123 Deer Park Dr, Carrollton, GA 30116 | 2015-10-19 |
| 1376953364 | Pope Counseling, LLC | Counselor | 251 Prism Dr., Suite 11, Carrollton, GA 30116 | 2014-04-30 |
| 1649453622 | Samantha Mindy Heard | Licensed Practical Nurse | 11 Oakridge Drive, Carrollton, GA 30116 | 2007-12-12 |
| 1528263837 | Nikki Kennedy | Contractor | 115 Castleman Road, Carrollton, GA 30116 | 2007-06-18 |
| 1841385671 | Margo Barnard | Counselor | 1774 Shady Grove Road, Carrollton, GA 30116 | 2006-10-04 |
| 1144878653 | Crystal Kelley Harden | Licensed Practical Nurse | 102 Quail Run, Carrollton, GA 30116-1894 | 2019-08-28 |
| 1871112110 | Lorie Maxwell Startup | Registered Nurse | 113 Central High Rd, Carrollton, GA 30116-4452 | 2020-04-15 |
| 1669960886 | Cindy R. Hunter | Dietitian, Registered | 104 Stoney Way, Carrollton, GA 30116-5108 | 2018-04-23 |
| 1659835320 | Gabriel Gherman | Pharmacist | 1963 Four Notch Rd, Carrollton, GA 30116-5223 | 2019-01-28 |
| 1144654013 | Cameron David Mount | Counselor | 997 Eagles Nest Cir, Carrollton, GA 30116-5496 | 2013-08-28 |
| Find all providers in zip 30116 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700300662 | Kelly Noel Mcclarnon | Social Worker | 2645 E Trinity Mills Rd, Carrollton, TX 75006-2135 | 2017-08-01 |
| 1659892685 | Brandon Maughan | Social Worker | 1100 West Jackson Road, Carrollton, TX 75006 | 2017-06-29 |
| 1760923270 | Amy Pelser | Social Worker | 1314 Willow Wood Dr, Carrollton, TX 75010-1304 | 2017-03-16 |
| 1356703383 | Jennifer J Huband | Social Worker | 15064 Carrollton Blvd Ste 19, Carrollton, VA 23314-3580 | 2016-03-29 |
| 1902290943 | Positive Counseling Services LLC | Social Worker | 15064 Carrollton Blvd Ste F, Carrollton, VA 23314-3499 | 2015-03-27 |
| 1164769998 | Maria T Isava | Social Worker | 4425 Plano Pkwy Ste 701, Carrollton, TX 75010-5031 | 2013-01-14 |
| 1952615601 | Julie Lavaughn Charles | Social Worker | 180 Martin Dr, Carrollton, GA 30117-2425 | 2010-08-04 |
| 1548594286 | Renee' Stewart Hannah | Social Worker | 115 Shelter Cove Way, Apartment 301, Carrollton, VA 23314-4178 | 2009-09-29 |
| 1487870275 | Bhanumathi Ivatury | Social Worker | 1422 Lincoln Dr, Carrollton, TX 75500-1400 | 2007-04-18 |
| 1285761684 | The Family Counseling Place | Social Worker | 3620 North Josey Lane, Suite 114, Carrollton, TX 75007-3151 | 2007-02-27 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30116 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.