Ian James Halstead, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003598 Issued in GA

Practice address

3855 Shallowford Rd Ste 420
Marietta, GA 30062

Phone

(678) 792-8677

Fax

(770) 993-8004

NPI assigned

Jan 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Iain Halstead LLC

  • Clinical Social Worker
  • Marietta, GA
  • NPI 1396003331
  NPD Authorized official
• Claire N. Zimmerman, LLC

  • Clinical Social Worker
  • Athens, GA
  • NPI 1215203526
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1972574895",
    "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": "30062",
            "telephone_number": "678-792-8677",
            "fax_number": "770-993-8004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "523 1/2 Prince Ave",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306012450",
            "country_code": "US",
            "telephone_number": "706-425-8900 x120",
            "fax_number": "706-425-8600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "523 1/2 Prince Ave",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306012450",
            "country_code": "US",
            "telephone_number": "706-425-8900 x120",
            "fax_number": "706-425-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALSTEAD",
        "first_name": "IAN",
        "middle_name": "JAMES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Hallam Anderson, LPC
• Christopher Hallock, PA-C
• Jeremy Hallock
• Stanley David Halpern, DDS
• Kristi Anderson Halsell, AU.D., CCC-A
• Thomas L Haltom, M.D.
• Hiba Hamadeh, MMEDSCI, RDN, LD
• John Henry Hamel, D.D.S.
• Cecilia Hamill
• Earla Hamilton, NP-C

• 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 Nov 25, 2019; 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.