Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Stacy Clark Mullins, LCSW

Individual provider Clinical Social Worker · NPI 1255613485

Mrs. Stacy Clark Mullins, LCSW is a Clinical Social Worker in Brunswick, Georgia. Qualified in 2001, 25 years ago. Practices with Gateway Community Service Board, a 41-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
25
Licensed in
GA
In the registry since
2011
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

221 N Deerfield Dr
Brunswick, GA 31525-9444
Phone: (912) 577-8363
Fax: (912) 554-1665
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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 CSW004491 (GA)

Record details

NPI number1255613485
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 14, 2011
Last updated in NPPESSeptember 14, 2011

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Gateway Community Service Board — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Brunswick