Individual provider Active NPI

Stephanie Higdon, LCSW

  • Clinical Social Worker
  • Danielsville, GA
National Provider Identifier
1972018729
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW006035 Issued in GA
Practice address
122 Courthouse Square
Danielsville, GA 30633-6850
Phone
(706) 206-5627
Fax
(866) 252-7137
NPI assigned
Dec 1, 2017
Last updated
Oct 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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 CSW006035 GA Primary

Addresses

Primary practice location

122 Courthouse Square
Danielsville, GA 30633-6850

Mailing address

PO Box 809
Danielsville, GA 30633-0809
Phone (706) 206-5627

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
I20180524002885 GA Practitioner - Clinical Social Worker 0446515381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 809
Danielsville, GA 30633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Leonard Higdon Clinical CurrentSince Dec 29, 2017 Accepting new patients

Locations

122 Courthouse Sq
Danielsville, GA 30633
Phone (706) 206-5627

140 Courthouse Sq
Danielsville, GA 30633
Phone (706) 206-5627

Organizations & group practices 1

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": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1972018729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 809",
            "city": "DANIELSVILLE",
            "state": "GA",
            "postal_code": "306330809",
            "telephone_number": "706-206-5627",
            "fax_number": "866-252-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 COURTHOUSE SQUARE",
            "city": "DANIELSVILLE",
            "state": "GA",
            "postal_code": "306336850",
            "telephone_number": "706-206-5627",
            "fax_number": "866-252-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGDON",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2022-10-05",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danielsville, GA

Sources for this page

Verify at the official NPI Registry.