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

Individual provider Clinical Social Worker · NPI 1972574895

Ian James Halstead, LCSW is a Clinical Social Worker in Marietta, Georgia. Practices as a sole proprietor and works from 3 locations. Licensed in Georgia.

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

3855 Shallowford Rd Ste 420
Marietta, GA 30062
Phone: (678) 792-8677
Fax: (770) 993-8004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 523 1/2 Prince Ave, Athens, GA 30601-2450 — (706) 425-8900
  • 523 1/2 Prince Ave, Athens, GA 30601-2450 — (706) 425-8900

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW003598 (GA)

Record details

NPI number1972574895
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 30, 2006
Last updated in NPPESNovember 25, 2019

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