NPI age
3 years
Enumerated 2022-10-13
● Active
Type 1 · Individual
MRS. Stacy Garrett Wallace, LCSW
Wallace is 1 of 5 social worker providers in Tyrone and 1 of 5654 in Georgia.
Primary specialty
Social Worker
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-10-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5654 active social worker providers in Georgia.
NPI age
3 years
↓ 6 yr below median (9 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties
NPI lifetime · 2022 → 2026
2022-10Enumerated in NPPES
2022
2026
Where they practice
Practice location
105 Saint Stephens Ct
Tyrone, GA 302901716
Mailing address
74 Price Dr W
Locust Grove, GA 302482540
Specialties
-
Social Worker PrimaryA 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...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.