Stephanie Leonard Higdon
Organization Active NPI Clinical Social Worker · Danielsville, GA
NPI 1295233237 · NPPES record last updated Oct 24, 2022
Key facts
- NPI
- 1295233237
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW006035 (GA)
- Legal business name
- STEPHANIE LEONARD HIGDON
- Practice address
- 122 Courthouse Square
Danielsville, GA 30633 - Phone
- (706) 206-5627
- Fax
- (866) 252-7137
- NPI assigned
- Jan 24, 2018
- Organization subpart
- No
Authorized official
- Name
- Mrs. Stephanie Higdon, LCSW
- Title
- Owner
- Phone
- (706) 206-5627
Practitioners 1
-
Stephanie Higdon, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180524002760 | GA | Part B Supplier - Clinic/Group Practice | 9537424478 |
Receives reassigned benefits from 1 practitioner Practice locations: Danielsville, GA |
National Provider Directory
Locations
140 Courthouse Sq
Danielsville, GA 30633
Phone (706) 206-5627
122 Courthouse Sq
Danielsville, GA 30633
Phone (706) 206-5627
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | CSW006035 | GA | Yes |
Addresses
Primary practice location
122 Courthouse Square
Danielsville, GA 30633
Mailing address
PO Box 809
Danielsville, GA 30633-0809
Phone (706) 206-5627
Other names
- Minding You
Other providers in Danielsville, GA
- Tnonealyer Geneva Powers
- Staci Rebecca Payne Quintana
- Leslie Claire Reynolds
- Matthew Schmitz
- Sierra'S Center, LTD.
- Wanda C Strickland
- Sara E. Swann
- Gene Russell Tackett Jr.
- Jenny Edwards Tolley
- Walgreen Co
All providers in Danielsville, GA · Clinical Social Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.