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

Mary Stack, LCSW

Individual provider Clinical Social Worker · NPI 1144757659

Mary Stack, LCSW is a Clinical Social Worker in Peachtree Corners, Georgia. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

6624 Jimmy Carter Blvd Ste A
Peachtree Corners, GA 30071-1727
Phone: (770) 743-0004
Fax: (404) 900-5453
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW004583

Record details

NPI number1144757659
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 15, 2017
Last updated in NPPESMay 15, 2017

Other providers in Peachtree Corners