Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carly Marie Farrell, LCSW

Individual provider Clinical Social Worker · NPI 1730729112

Carly Marie Farrell, LCSW is a Clinical Social Worker in Canton, Georgia. Qualified in 2016, 10 years ago. Practices with Privia Medical Group of Georgia LLC, a 450-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Georgia.

Years since qualifying
10
Licensed in
FL, GA
In the registry since
2020
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

110 Hidden Lake Cir
Canton, GA 30114-1233
Phone: (678) 878-0782
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW007035 (GA)
Clinical Social Worker Taxonomy 1041C0700X · Licence SW16900 (FL)

Record details

NPI number1730729112
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 13, 2020
Last updated in NPPESJanuary 13, 2020
Certification dateJanuary 13, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Privia Medical Group Of Georgia Llc — 450 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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