Individual provider Active NPI

Marie Stone, LCSW

  • Clinical Social Worker
  • Kennesaw, GA
National Provider Identifier
1154727725
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008567 Issued in VA
Practice address
1300 Ridenour Blvd NW Ste 253
Kennesaw, GA 30152-4575
Phone
(770) 309-7686
NPI assigned
Nov 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904008567 VA Primary

Addresses

Primary practice location

1300 Ridenour Blvd NW Ste 253
Kennesaw, GA 30152-4575

Mailing address

1300 Ridenour Blvd NW Ste 100
Kennesaw, GA 30152-4528
Phone (770) 309-7686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240311001186 GA Practitioner - Clinical Social Worker 8426372707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3950 Cobb Pkwy NW
Suite 604
Acworth, GA 30101-9530
Phone (770) 309-3882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904008567VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Marie Stone Counseling, LLC Clinical CurrentSince Jan 28, 2024 Accepting new patients
Mary Giencke Past Accepting new patients

Locations

3950 Cobb Pkwy NW
Ste 604
Acworth, GA 30101
Phone (404) 550-8951

1300 Ridenour Blvd NW
Ste 100
Kennesaw, GA 30152
Phone (470) 232-0073

1300 Ridenour Blvd NW
Ste 253
Kennesaw, GA 30152
Phone (770) 309-7686

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1154727725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 RIDENOUR BLVD NW STE 100",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524528",
            "telephone_number": "770-309-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 RIDENOUR BLVD NW STE 253",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524575",
            "telephone_number": "770-309-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.