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

Mrs. Shana Gissentanner Conley, LCSW

Individual provider Clinical Social Worker · NPI 1497431043

Mrs. Shana Gissentanner Conley, LCSW is a Clinical Social Worker in Duluth, Georgia. Qualified in 2020, 6 years ago. Practices with Brightside Medical of Michigan PC, a 93-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
6
Licensed in
GA
In the registry since
2023
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

2760 Peachtree Industrial Blvd Ste C
Duluth, GA 30097-2201
Phone: (404) 919-0917
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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 CSW009015 (GA)

Record details

NPI number1497431043
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 27, 2023
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Brightside Medical Of Michigan Pc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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