P Praxis·MD
● Active Type 1 · Individual

Mary Stack, LCSW

Social Worker·Peachtree Corners, GA· NPI 1144757659 · Enumerated 2017 · 9 years on NPI
Stack is 1 of 25 social worker providers in Peachtree Corners and 1 of 5654 in Georgia.
NPI age
9 years
Enumerated 2017-05-15
Primary specialty
Social Worker
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2017-05-15
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5654 active social worker providers in Georgia.

NPI age
9 years
≈ at median (9 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-05Enumerated in NPPES
2017 2026

Where they practice

Practice location
6624 Jimmy Carter Blvd Ste A
Peachtree Corners, GA 300711727
📞 7707430004fax 4049005453
Mailing address
3497 Tulip Tree Ln
Duluth, GA 300965332
📞 6782343685

Specialties

  • Social Worker Primary
    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...
    taxonomy 1041C0700X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new social worker provider has been added in Peachtree Corners in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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