CHASSIDY M STANLEY LCSW NPI 1477564367

NPI Information

  • NPI: 1477564367
  • Provider Name: CHASSIDY M STANLEY, LCSW
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 705 JESSE JEWELL PKWY SE
    SUITE 175
    GAINESVILLE, GA
    ZIP 30501
  • Phone: (770) 718-9790

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NPI Details

Chassidy M Stanley, LCSW is a clinical social worker in Gainesville, GA with 27 years of experience. The provider is 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. Chassidy M Stanley, LCSW NPI is 1477564367. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

705 JESSE JEWELL PKWY SE
SUITE 175
GAINESVILLE, GA
ZIP 30501-867
Phone: (770) 718-9790
Fax: (770) 718-5531

The NPI 1477564367 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 2/22/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalCSW003469GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1392701029AMEDICAIDGEORGIA
2GRP7811OTHERGEORGIAMEDICARE B
380BBGKVMEDICARE ID-TYPE UNSPECIFIEDGEORGIAPPA
4Q16028MEDICARE UPINGEORGIA
5392701029BMEDICAIDGEORGIA
680BBGFJMEDICARE ID-TYPE UNSPECIFIEDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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