Marcy A Stidum is a Clinical in Carrollton, Georgia. Marcy A Stidum practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marcy A Stidum is 1851497036. The last update date is 2007-10-17.
Marcy A Stidum's current location address is 153 Independence Dr, Carrollton, Georgia. You can contact this provider via phone number 7708366678 and fax number 7708362266. The mailing address for Marcy A Stidum is 153 Independence Dr, Carrollton, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marcy A Stidum |
|---|---|
| Address | 153 Independence Dr, Carrollton, Georgia |
| Phone Number | 7708366678 |
| Fax Number | 7708362266 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1851497036 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2007-10-17 |
Provider Mailing Address Detail
| Address | 153 Independence Dr |
|---|---|
| City | Carrollton |
| State | Georgia (GA) |
| Post Code | 301169000 |
| Phone Number | 7708366678 |
| Fax Number | 7708362266 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CSW003490 |
|
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 |
|
Post Comment/ Review Below
What is the unique identifier code issued to Marcy A Stidum by the Centers for Medicare & Medicaid Services (CMS)?
The Marcy A Stidum has been assigned the NPI (National Provider Identifier) 1851497036. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Marcy A Stidum is located?
The Marcy A Stidum is situated at the following address: 153 Independence Dr, Carrollton, GA, 301169000.
What is Marcy A Stidum's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Marcy A Stidum is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
When was the Marcy A Stidum's 1851497036 issued?
The Marcy A Stidum's 1851497036 was issued on 2006-09-15.
As of what date were the details related to Marcy A Stidum most recently updated or revised?
The information pertaining to Marcy A Stidum, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-17.