Individual provider Active NPI

Douglas J Stahel, LCSW

  • Social Worker
  • Marietta, GA
National Provider Identifier
1235264532
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
000554 Issued in GA
Practice address
2551 Roswell Rd Ste 201
Marietta, GA 30062-4761
Phone
(678) 252-6115
Fax
(678) 399-1678
NPI assigned
Feb 23, 2007
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 000554 GA Primary

Addresses

Primary practice location

2551 Roswell Rd Ste 201
Marietta, GA 30062-4761

Mailing address

2551 Roswell Rd Ste 201
Marietta, GA 30062-4761
Phone (678) 252-6115

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
I20130617000562 GA Practitioner - Clinical Social Worker 0840439105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2050 Roswell Rd
Marietta, GA 30062-3811

2551 Roswell Rd
Suite 201
Marietta, GA 30062-4761
Phone (678) 252-6115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000554GAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Warnecke Professional Counseling, PC CurrentSince Jul 31, 2017 Accepting new patients
Psychological Source, Inc. Past Accepting new patients

Locations

2050 Roswell Rd
Marietta, GA 30062
Phone (678) 252-6115

2551 Roswell Rd
Ste 201
Marietta, GA 30062
Phone (678) 252-6115

11755 Pointe Pl
Ste A1
Roswell, GA 30076
Phone (770) 667-1264

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1235264532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 ROSWELL RD STE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624761",
            "telephone_number": "678-252-6115",
            "fax_number": "678-399-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 ROSWELL RD STE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624761",
            "telephone_number": "678-252-6115",
            "fax_number": "678-399-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHEL",
        "first_name": "DOUGLAS",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "000554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.