STACY EKMARK (NPI# 1881191252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881191252 |
| Entity Type | Individual |
| Full Name | STACY EKMARK |
| Gender | Female |
| Credential | LCSW |
| Practice Address | 1065 Powers Pl Alpharetta GA 30009-7204 |
| Practice Telephone | 7703752143 |
| Mailing Address | 1065 Powers Pl Alpharetta GA 30009-7204 |
| Mailing Telephone | 7703752143 |
| Certification Date | 2021-01-14 |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2021-01-14 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 1041C0700X | Social Worker Specialization: Clinical | CSW006012 | GA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2940 Johnson Ferry Rd, Ste B-127, Marietta, GA 300628361 | 7062163238 |
| Endpoint Type | Endpoint | Affiliation | Affiliation Address | Use | Content |
|---|---|---|---|---|---|
| Direct Messaging Address | sekmark90879@nghs.gadirect.net | 1065 Powers Pl, Alpharetta, GA 300097204 | Direct |
| PECOS Associate Control (PAC) ID | 0042566945 by Medicare Provider Enrollment and Chain/Ownership System (PECOS) |
| Professional Enrollment ID | I20180707000059 |
| Last Name | EKMARK |
| First Name | STACY |
| Location | 1065 Powers Pl, Alpharetta, GA 30009-7204 |
| Phone Number | 7703752143 |
| Graduation Year | 2013 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Street Address | 1065 POWERS PL |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30009-7204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689184210 | Ruth Santos-Ortiz | Counselor · Mental Health | 1065 Powers Pl Ste B, Alpharetta, GA 30009-7205 | 2017-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437778354 | Therapeutic Alliance LLC | Social Worker · Clinical | 2300 Lakeview Parkway, Suite 700, Alpharetta, GA 30009 | 2020-04-10 |
| 1457901209 | Carehere LLC | Family Medicine | Carehere Clinic- Jackson Healthcare, 2655 Northwinds Pkwy, Alpharetta, GA 30009 | 2019-09-13 |
| 1952888927 | Total Access Pediatrics LLC | Pediatrics | 401 S Main St Ste A1, Alpharetta, GA 30009 | 2018-07-23 |
| 1356836878 | Hcenti, LLC · The Hearing Center At Enti | Audiologist-Hearing Aid Fitter | 2365 Old Milton Parkway, Alpharetta, GA 30009 | 2018-06-27 |
| 1093203341 | Samantha Elizabeth Heuwagen | Marriage & Family Therapist | 286 S Main St Ste 100, Alpharetta, GA 30009 | 2018-04-23 |
| 1275035578 | Personal Concierge Md, LLC | Internal Medicine | 10105 Westside Parkway, Suite 110, Alpharetta, GA 30009 | 2018-03-02 |
| 1336653732 | One Journey Enterprise, LLC | Durable Medical Equipment & Medical Supplies · Customized Equipment | 2440 Old Milton Parkway, Suite 200, Alpharetta, GA 30009 | 2017-11-21 |
| 1124474929 | Allyne Anesthesia PC | Anesthesiology | 11675 Rainwater Drive, Suite 250, Alpharetta, GA 30009 | 2016-05-11 |
| 1932579885 | Patricia Aycock Jones Garrett | Nurse Practitioner · Psych/Mental Health | 1031a Cambridge Square, Alpharetta, GA 30009 | 2015-10-05 |
| 1558770123 | Terry A Williams | Physician Assistant · Surgical Technologist | 2400 Old Milton Parkway, #1433, Alpharetta, GA 30009 | 2014-08-07 |
| Find all providers in zip 30009 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477133965 | Alison Hernandez | 3060 Kimball Bridge Rd # 110, Alpharetta, GA 30022-1404 | 2021-04-09 | |
| 1235724345 | Terresha Anthony | 3 Sweetberry Ct, Alpharetta, GA 30005-6446 | 2021-03-02 | |
| 1477164903 | Michelle Lorraine Panzarella | 12579 Huntington Trce, Alpharetta, GA 30005-7501 | 2020-08-10 | |
| 1437778354 | Therapeutic Alliance LLC | 2300 Lakeview Parkway, Suite 700, Alpharetta, GA 30009 | 2020-04-10 | |
| 1336771237 | Primo Wellness | 6742 Jamestown Drive, Alpharetta, GA 30022-3002 | 2020-02-08 | |
| 1417588872 | Amy Curtis | 201 Vaughn Dr, Alpharetta, GA 30009-2333 | 2020-02-03 | |
| 1083179725 | Ronda Zoalia June | 320 Maxwell Rd Ste 300, Alpharetta, GA 30009-2010 | 2019-02-06 | |
| 1003301276 | Yvette Robinson | 3060 Royal Boulevard South, Suite 110, Alpharetta, GA 30022-1404 | 2018-06-28 | |
| 1619493194 | Karen Helene Whitehead | 3546 Old Milton Pkwy, Alpharetta, GA 30005 | 2017-08-16 | |
| 1053834572 | Elizabeth Kaye Johnson | 3060 Royal Blvd S Ste 210, Alpharetta, GA 30022-1443 | 2017-07-18 | |
| Find all providers in ALPHARETTA | ||||
| City | ALPHARETTA |
| Zip Code | 30009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063693398 | Roderick D Ekmark · R. David Ekmark | Family Medicine | 13857 Us Highway 87 West, La Vernia, TX 78121 | 2007-11-15 |
| 1154971240 | Stacy Ekmark, LLC | Clinic/Center · Mental Health (Including Community Mental Health Center) | 1071 Cambridge Sq Ste B, Alpharetta, GA 30009-1843 | 2019-09-19 |
| 1366871857 | Elaine Ekmark · Elaine Mcgarr Ekmark | Nurse Practitioner | 2222 Welborn St, Texas Scottish Rite Hospital, Dallas, TX 75219-3924 | 2013-11-05 |
| 1891005823 | Stacy Torres · Stacy Weible | Nurse Practitioner · Family | 13900 Quailbrook Dr, Oklahoma City, OK 73134-1718 | 2010-10-08 |
| 1508254988 | Stacy Kay Giglio · Stacy Kay Brown | Licensed Practical Nurse | 333 Wiley Blvd., Cape Vincent, NY 13618 | 2015-01-07 |
| 1063840759 | Stacy L Thompson · Stacy Lynn Fetzer | Registered Nurse · Ambulatory Care | 1520 N Senate Ave, Indianapolis, IN 46202-2213 | 2013-10-16 |
| 1134502388 | Stacy Jean Wooten · Stacy Hill | Physical Therapist | 9669 E 146th St Ste 165, Noblesville, IN 46060-5007 | 2015-07-07 |
| 1023251352 | Stacy Lee Sauer · Stacy Lee Pufahl | Nurse Practitioner | 3914 E State Road 64, Bradenton, FL 34208-9059 | 2009-04-16 |
| 1518398403 | Stacy Ann Visker · Stacy Ann Mittleider | Nurse Practitioner | 1210 W 18th St, Ste 100, Sioux Falls, SD 57104-9890 | 2013-12-03 |
| 1093951170 | Stacy R Allenbach · Stacy R Kerschen | Audiologist | 1947 Founders' Circle, Wichita, KS 67206 | 2008-12-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.