P Praxis·MD
● Active Type 1 · Individual

MRS. Marcy A Stidum, LCSW

Social Worker·Carrollton, GA· NPI 1851497036 · Enumerated 2006 · 19 years on NPI
Stidum is 1 of 15 social worker providers in Carrollton and 1 of 5654 in Georgia.
NPI age
19 years
Enumerated 2006-09-15
Primary specialty
Social Worker
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-10-17
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
19 years
↑ 10 yr above median (9 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-09Enumerated in NPPES
2006 2026

Where they practice

Practice location
153 Independence Dr
Carrollton, GA 301169000
📞 7708366678fax 7708362266
Mailing address
122 Gordon Commercial Dr # C
Lagrange, GA 302405740
📞 7068454045fax 7068454312

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...
    GA license #CSW003490 taxonomy 1041C0700X

Practice context

Part of a multi-provider practice. 29 other active providers share this practice address in NPPES.

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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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