Stacie Bethea, MSW is a
Social Worker based in Atlanta, Georgia. Stacie Bethea is licensed to practice in Georgia (license number ) and her current practice location is
2001 Martin Luther King Jr Dr Sw, Suite 409, Atlanta, Georgia. She can be reached at her office (for appointments etc.) via phone at
(404) 564-6486.
NPI number for Stacie Bethea is 1134521180 and her current mailing address is 184 Willow Springs Ln, Stockbridge, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134521180.
Healthcare Provider's Profile
| Full Name | Stacie Bethea |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 2001 Martin Luther King Jr Dr Sw, Atlanta, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1134521180
- Provider Enumeration Date: 09/22/2014
- Last Update Date: 09/22/2014
Medical Identifiers
Medical identifiers for Stacie Bethea such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134521180 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (Georgia) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Georgia) | Secondary |
| 101YM0800X | Counselor - Mental Health | (Georgia) | Secondary |
| 104100000X | Social Worker | (Georgia) | Primary |
| 1041C0700X | Social Worker - Clinical | (Georgia) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacie Bethea is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Stacie Bethea, MSW
184 Willow Springs Ln,
Stockbridge, GA 30281-6228
Ph: (917) 848-5567 | Stacie Bethea, MSW
2001 Martin Luther King Jr Dr Sw, Suite 409,
Atlanta, GA 30310-1101
Ph: (404) 564-6486 |
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