STACY EKMARK (NPI# 1881191252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881191252 |
| Entity Type | Individual |
| Full Name | STACY EKMARK |
| Credential | LCSW |
| Practice Address |
200 Wisteria Dr Gainesville GA 30501-3827 |
| Mailing Address |
Po Box 742616 Atlanta GA 30374-2616 |
| Practice Telephone | 7702195407 |
| Mailing Telephone | 7702198420 |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2020-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW006012 | GA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2940 Johnson Ferry Rd, Ste B-127, Marietta, GA 300628361 | 7062163238 |
| Street Address |
200 WISTERIA DR |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770566341 | Shahzad M Hashmi | Psychiatry & Neurology | 200 Wisteria Dr, Gainesville, GA 30501-3827 | 2005-11-28 |
| 1285247437 | Yong Ko | Registered Nurse | 200 Wisteria Dr, Gainesville, GA 30501-3827 | 2020-08-27 |
| 1659991156 | Kaleigh Lowe Holmes | Nurse Practitioner | 200 Wisteria Dr, Gainesville, GA 30501-3827 | 2020-04-24 |
| 1912531484 | Monica Jackson Smith | Social Worker | 200 Wisteria Dr, Gainesville, GA 30501-3827 | 2020-02-24 |
| 1245880897 | William Chad Garrett | Nurse Practitioner | 200 Wisteria Dr, Gainesville, GA 30501-3827 | 2019-09-16 |
| 1336623487 | Nurat Abiola Aro-lambo | Nurse Practitioner | 200 Wisteria Dr, Gainesville, GA 30501 | 2018-09-24 |
| 1093291296 | Cinandra Sweatman | Nurse Practitioner | 200 Wisteria Dr, Gainesville, GA 30501-3827 | 2018-07-11 |
| 1609307149 | Nicole Williams | Nurse Practitioner | 200 Wisteria Dr, Gainesville, GA 30501-3827 | 2017-03-26 |
| 1750829123 | Chika Okem Akwiwu | Nurse Practitioner | 200 Wisteria Dr, Gainesville, GA 30501-3827 | 2017-02-06 |
| 1841747946 | Lisa Kim Aiello | Registered Nurse | 200 Wisteria Dr, Gainesville, GA 30501-3827 | 2016-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205460987 | Aaron Maximo Perez | Social Worker | 675 White Sulphur Rd Ste 260, Gainesville, GA 30501-2569 | 2020-03-03 |
| 1689208076 | Reneisha Drayton | Social Worker | 1105 Fort Clarke Blvd Apt 705, Gainesville, FL 32606-7128 | 2020-02-25 |
| 1104484252 | Shanti Marie Cruz | Social Worker | 6423 Nw 30th Ter, Gainesville, FL 32653-1426 | 2019-06-04 |
| 1255995759 | Elizabeth Rose Gottlieb Gattone | Social Worker | 115 Ne 7th Ave Ste 201, Gainesville, FL 32601-4391 | 2019-04-30 |
| 1467917864 | Marquetta Lee | Social Worker | 2772 Nw 43rd St, Ste C, Gainesville, FL 32606 | 2019-02-10 |
| 1700385549 | Lacey Joy Hastreiter | Social Worker | 4872 Poplar Tree Rd, Gainesville, NY 14066-9720 | 2018-02-07 |
| 1609375633 | Erin B Upham | Social Worker | 7450 Heritage Village Plz Ste 100, Gainesville, VA 20155-3090 | 2018-02-05 |
| 1952817918 | Tomekia Wynn | Social Worker | North Florida/ South Georgia, 1601 S.w. Archer Road, Gainesville, FL 32608-1197 | 2017-12-28 |
| 1972017085 | Teresa Hearn | Social Worker | 1730 Thompson Bridge Rd Ste 2, Gainesville, GA 30501-1718 | 2017-11-28 |
| 1982118618 | Renew Counseling and Services | Social Worker | 14540 John Marshall Highway, Gainesville, VA 20155 | 2017-11-16 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.