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

Stephanie E. Moultrie, LCSW

Individual provider Clinical Social Worker · NPI 1063664068

Stephanie E. Moultrie, LCSW is a Clinical Social Worker in Covington, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2008
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

8201 Hazelbrand Rd NE
Covington, GA 30014-1510
Phone: (770) 787-3977
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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 CSW004041 (GA)

Record details

NPI number1063664068
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 21, 2008
Last updated in NPPESOctober 21, 2008
Mailing addressPo Box 687, Lawrenceville, GA 30046-0687

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