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

Individual provider Clinical Social Worker · NPI 1477564367

Chassidy M Stanley, LCSW is a Clinical Social Worker in Gainesville, Georgia. Qualified in 1999, 27 years ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
27
Licensed in
GA
In the registry since
2006
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

705 Jesse Jewell Pkwy SE Ste 175
Gainesville, GA 30501-3867
Phone: (770) 718-9790
Fax: (770) 718-5531
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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 CSW003469 (GA)

Record details

NPI number1477564367
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 10, 2006
Last updated in NPPESFebruary 22, 2017
Mailing address4364 Silver Peak Pkwy, Suwanee, GA 30024-4016

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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