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STEFANIE L SPEANBURG LCSW
NPI 1639454887
Social Worker - Clinical in Atlanta, GA

Active since October 19, 2011Opted out of Medicare · through Dec 21, 2026
1350 SPRING ST NW, SUITE 225, ATLANTA, GA 30309(404) 556-2878 Get Directions Write a Review

NPPES record last updated: October 19, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stefanie L Speanburg Lcsw NPPES

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

STEFANIE L SPEANBURG LCSW (NPI 1639454887) is an individual clinical provider in Atlanta, Georgia, licensed in Georgia (CSW004541) and active in the NPI registry since October 2011. She has opted out of Medicare through December 21, 2026.

NPPES Registry Identity

NPI1639454887
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTEFANIE L SPEANBURGCredential: LCSW
Location Address1350 SPRING ST NW, SUITE 225Atlanta, GA 30309-2864
Mailing Address1350 Spring St Nw, Suite 225Atlanta, GA 30309 · (404) 556-2878
Phone(404) 556-2878
Sole ProprietorYes
Enumeration DateOctober 19, 2011
✔ NPI 1639454887 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 in GA · CSW004541
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.
1350 SPRING ST NW, Atlanta, GA 30309
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Stefanie L Speanburg Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 21, 2018 through December 21, 2026.

Opt-Out Effective DateDecember 21, 2018
Opt-Out In Effect ThroughDecember 21, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.84 – $172.43
Typical copayment $0.00 (range $14.21 – $43.10)
Most-billed visit code NA
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

DR. CHRISTINA MARGARET HALL PSY.D.
Psychologist (Clinical)
1350 SPRING ST NW, SUITE 225
ATLANTA, GA 30309
Fulton County (678) 358-6927
DENTISTRY FOR CHILDREN OF SNELLVILLE LLC
Dentist (Pediatric Dentistry)
1350 SPRING ST NW, SIXTH FLOOR
ATLANTA, GA 30309
Fulton County (404) 389-1950
GROUP 1 ORTHODONTICS, LLC
Dentist (Orthodontics and Dentofacial Orthopedics)
1350 SPRING ST NW
ATLANTA, GA 30309
Fulton County (770) 648-1082
DENTISTRY FOR CHILDREN OF DULUTH LLC
Dentist (Pediatric Dentistry)
1350 SPRING ST NW, SIXTH FLOOR
ATLANTA, GA 30309
Fulton County (404) 389-1950
DR. ANN DOWNER REOPELLE D.M.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
1350 SPRING ST NW, SIXTH FLOOR
ATLANTA, GA 30309
Fulton County (770) 448-8882
DENTISTRY FOR CHILDREN OF FAYETTEVILLE LLC
Dentist (Pediatric Dentistry)
1350 SPRING ST NW, SIXTH FLOOR
ATLANTA, GA 30309
Fulton County (404) 389-1950
DR. SUYON LEE PARK DDS
Dentist (Pediatric Dentistry)
1350 SPRING ST NW, STE 600
ATLANTA, GA 30309
Fulton County (404) 389-1950
DR. EZAT MULKI DMD
Dentist (Pediatric Dentistry)
1350 SPRING ST NW, STE 600
ATLANTA, GA 30309
Fulton County (404) 389-1950

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 Stefanie Speanburg's NPI number?

The NPI number for Stefanie Speanburg is 1639454887. It was assigned to this individual provider in the NPPES registry on October 19, 2011.

Where is Stefanie Speanburg located?

Stefanie Speanburg practices at 1350 Spring St NW Suite 225, Atlanta, GA 30309. The listed phone number is (404) 556-2878.

What is Stefanie Speanburg's specialty?

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

Is Stefanie Speanburg enrolled in Medicare?

No. Stefanie Speanburg has opted out of Medicare through December 21, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Stefanie Speanburg was last updated on October 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.