Individual provider · Type 1 NPI

Marcy A. Stidum, LCSW

Clinical Social Worker · Carrollton, GA

NPI number 1851497036 Active

Practice location

153 Independence Dr
Carrollton, GA 30116-9000

Call (770) 836-6678 Map

Fax (770) 836-2266

Mailing address

122 Gordon Commercial Dr # C
Lagrange, GA 30240-5740

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW003490 (GA)

Clinical Social Worker: 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 interpers…

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About NPI 1851497036

Marcy A. Stidum, LCSW's National Provider Identifier is 1851497036, issued on Sep 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Carrollton, GA. The record was last updated on Oct 17, 2007.