Nikiki Stovall, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW006552 Issued in GA

Practice address

405 Gaines School Rd Ste C4
Athens, GA 30605-3101

Phone

(706) 389-9855

NPI assigned

Jul 8, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Your Therapist Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Athens, GA
  • NPI 1679161194
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549065600000",
    "number": "1033561436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ATHENS RD",
            "city": "WINTERVILLE",
            "state": "GA",
            "postal_code": "306831537",
            "telephone_number": "803-397-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 GAINES SCHOOL RD STE C4",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053101",
            "telephone_number": "706-389-9855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1390 Regatta St Apt 308",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283013754",
            "country_code": "US",
            "telephone_number": "910-275-4602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Athens Rd",
            "address_purpose": "LOCATION",
            "city": "Winterville",
            "state": "GA",
            "postal_code": "30683",
            "country_code": "US",
            "telephone_number": "803-397-7088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOVALL",
        "first_name": "NIKIKI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2019-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010972",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mickey Stone, OT
• Morgan Stone, ATC, OTC
• Stonegate Counseling Associates, PC
• Anna Story
• William Todd Story, P.T
• James Edwin Stowe Jr., RPH
• Meagan Stowe, D.C.
• Elaina Deon Stowers
• Garrett Strawn, PHARMD
• Carley Streeter

• Clinical Social Worker in Athens, GA
• Providers in Athens, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.