IndividualActive
Stacy Wallace, LCSW
NPI 1225754120 · Clinical Social Worker · Tyrone, GA
Stacy Wallace, LCSW is a Clinical Social Worker provider in Tyrone, GA (NPI 1225754120).
Provider details
- NPI number
- 1225754120
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- CSW002388 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
105 Saint Stephens Ct
Tyrone, GA 30290-1716
Phone: (770) 378-9913
Approximate (ZIP-level) locationGet directions
Mailing address
74 Price Dr W
Locust Grove, GA 30248-2540
Registry dates
- Enumerated
- 2022-10-13
- Last updated
- 2022-10-13
- Certified
- 2022-10-13
Frequently asked questions
- What is Stacy Wallace's NPI number?
- Stacy Wallace's National Provider Identifier (NPI) is 1225754120, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacy Wallace's specialty?
- Stacy Wallace is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Stacy Wallace located?
- Stacy Wallace's practice location on file with NPPES is 105 Saint Stephens Ct, Tyrone, GA 30290-1716.
- What is Stacy Wallace's phone number?
- The practice phone number listed in the NPPES registry for Stacy Wallace is (770) 378-9913.
- Is Stacy Wallace's NPI active?
- Yes — Stacy Wallace's NPI (1225754120) is active in the NPPES registry as of the last update on 2022-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.