Chassidy M Stanley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003469 Issued in GA

Practice address

705 Jesse Jewell Pkwy SE
Suite 175
Gainesville, GA 30501-3867

Phone

(770) 718-9790

Fax

(770) 718-5531

NPI assigned

Aug 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• J G Options, LLC

  • Social Worker
  • Tucker, GA
  • NPI 1457362279
  NPD (past)
• Psychiatry and Psychological Associates LLC

  • Psychologist
  • Gainesville, GA
  • NPI 1124038187
  NPD (past)
• Presbyterian Counseling Center of Greensboro, Inc

  • Mental Health Counselor
  • Greensboro, NC
  • NPI 1831138296
  NPD (past)
• Rockingham County Finance Office

  • State or Local Public Health Clinic/Center
  • Reidsville, NC
  • NPI 1306947445
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1477564367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4364 SILVER PEAK PKWY",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244016",
            "telephone_number": "770-362-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 JESSE JEWELL PKWY SE",
            "address_2": "SUITE 175",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013867",
            "telephone_number": "770-718-9790",
            "fax_number": "770-718-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "CHASSIDY",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B",
            "identifier": "GRP7811",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "392701029A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "392701029B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen Patton Stanaway, FNP-C
• Melody Ann Stancil, M.D.
• Patty Stancil, DPT
• Tristan Michael Stani, MD
• Barrett Gene Stanley, DPT
• David H Stanley, PHARMD
• Noelle Claudine Stanley, MD
• Suzanne Stanley, CACII
• Benjamin Andrew Starr, PHARMD
• James Nathaniel Starr, D.O.

• Clinical Social Worker in Gainesville, GA
• Providers in Gainesville, 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 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.