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MARY STACK LCSW
NPI 1144757659
Social Worker - Clinical in Peachtree Corners, GA

Active since May 15, 2017
6624 JIMMY CARTER BLVD STE A, PEACHTREE CORNERS, GA 30071(770) 743-0004(404) 900-5453 Get Directions Write a Review

NPPES record last updated: May 15, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Stack Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY STACK LCSW (NPI 1144757659) is an individual clinical provider in Peachtree Corners, Georgia, licensed in (CSW004583) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1144757659
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY STACKCredential: LCSW
Location Address6624 JIMMY CARTER BLVD STE APeachtree Corners, GA 30071-1727
Mailing Address3497 Tulip Tree LnDuluth, GA 30096-5332 · (678) 234-3685
Phone(770) 743-0004
Fax(404) 900-5453
Sole ProprietorYes
Enumeration DateMay 15, 2017
✔ NPI 1144757659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed · CSW004583
Definition
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.
6624 JIMMY CARTER BLVD STE A, Peachtree Corners, GA 30071
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARKHAM SHEPPARD, LLC
Community/Behavioral Health
6624 JIMMY CARTER BLVD STE A
PEACHTREE CORNERS, GA 30071
Gwinnett County (404) 900-5450
JUSTIN GORDON LCSW
Social Worker (Clinical)
6624 JIMMY CARTER BLVD STE A
PEACHTREE CORNERS, GA 30071
Gwinnett County (404) 900-5450
MRS. DAYAN CARLA BOOKMAN
Social Worker (Clinical)
6624 JIMMY CARTER BLVD STE A
PEACHTREE CORNERS, GA 30071
Gwinnett County (404) 900-5450
FIRST INTEGRATED COMMUNITY CARE SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
6624 JIMMY CARTER BLVD STE A
PEACHTREE CORNERS, GA 30071
Gwinnett County (770) 281-9819

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Stack's NPI number?

The NPI number for Mary Stack is 1144757659. It was assigned to this individual provider in the NPPES registry on May 15, 2017.

Where is Mary Stack located?

Mary Stack practices at 6624 Jimmy Carter Blvd Ste A, Peachtree Corners, GA 30071. The listed phone number is (770) 743-0004.

What is Mary Stack's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mary Stack was last updated on May 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.