Stacy L Wolff is a Clinical in Dahlonega, Georgia. Stacy L Wolff practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stacy L Wolff is 1104977412. The last update date is 2009-05-07.
Stacy L Wolff's current location address is 487 Morrison Moore Pkwy W, Dahlonega, Georgia. You can contact this provider via phone number 7063448461 and fax number 7063486065. The mailing address for Stacy L Wolff is 487 Morrison Moore Pkwy W, Dahlonega, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy L Wolff |
|---|---|
| Address | 487 Morrison Moore Pkwy W, Dahlonega, Georgia |
| Phone Number | 7063448461 |
| Fax Number | 7063486065 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1104977412 |
|---|---|
| Provider Enumeration Date | 2007-01-15 |
| Last Updated Date | 2009-05-07 |
Provider Mailing Address Detail
| Address | 487 Morrison Moore Pkwy W |
|---|---|
| City | Dahlonega |
| State | Georgia (GA) |
| Post Code | 305331422 |
| Phone Number | 7063448461 |
| Fax Number | 7063486065 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CSW002651 |
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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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 374813915A | GA | -- |
Post Comment/ Review Below
What is the Stacy L Wolff's 1104977412?
The Stacy L Wolff's NPI (National Provider Identifier) Number is 1104977412. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Stacy L Wolff is physically located?
The Stacy L Wolff is situated at the following address: 487 Morrison Moore Pkwy W, Dahlonega, GA 305331422.
What is Stacy L Wolff's area of expertise and its corresponding taxonomy classification?
The Stacy L Wolff's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did Stacy L Wolff receive its 1104977412 assignment from the Centers for Medicare & Medicaid Services?
The Stacy L Wolff was assigned its 1104977412 on 2007-01-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Stacy L Wolff's details last updated?
The information pertaining to the Stacy L Wolff, including its address, specialty, and other details, was most recently updated on 2009-05-07.