Iain Halstead LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003598 Issued in GA

Legal business name

IAIN HALSTEAD LLC

Practice address

3855 Shallowford Rd Ste 420
Marietta, GA 30062-4197

Phone

(678) 792-8677

Fax

(770) 993-8004

NPI assigned

Apr 27, 2012

Last updated

Aug 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ian James Halstead, LCSWNPI 1972574895

Title

Director

Phone

(678) 792-8677

Specialties & licenses 1

Addresses

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ian James Halstead, LCSW

  • Clinical Social Worker
  • Marietta, GA
  • NPI 1972574895
  NPD Authorized official
• Katie Baba, MSW

  • Clinical Social Worker
  • St Simons Island, GA
  • NPI 1588027585
  NPD (past)
• Andrea Leigh Farnham, LMFT, CST

  • Marriage & Family Therapist
  • Athens, GA
  • NPI 1366008393
  NPD (past)
• Katie E Loyd, LCSW

  • Clinical Social Worker
  • Macon, GA
  • NPI 1144626177
  NPD (past)
• Valerie Dunn McBee, LCSW

  • Counselor
  • Watkinsville, GA
  • NPI 1801094248
  NPD (past)
• Timothy Sweatman, LCSW

  • Clinical Social Worker
  • Farmington, GA
  • NPI 1588821722
  NPD (past)

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1396003331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 SHALLOWFORD RD STE 420",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624197",
            "telephone_number": "678-792-8677",
            "fax_number": "770-993-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 SHALLOWFORD RD STE 420",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624197",
            "telephone_number": "678-792-8677",
            "fax_number": "770-993-8004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Woodridge Ln",
            "address_2": "SUITE 201",
            "address_purpose": "LOCATION",
            "city": "Watkinsville",
            "state": "GA",
            "postal_code": "306776077",
            "country_code": "US",
            "telephone_number": "706-715-3414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IAIN HALSTEAD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "HALSTEAD",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-792-8677",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Marietta, GA
• Providers in Marietta, 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 Aug 20, 2021; 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.