Stacy Clark Mullins, LCSW
NPI 1255613485ActiveIndividual· Social Worker, Clinical· Brunswick, GA
Social Worker, Clinical (LCSW) with Gateway Community Service Board, practicing in Brunswick, Georgia. Medicare paid $5,805 for services to 58 patients in 2024.
Overview
| NPI | 1255613485 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Sep 14, 2011 |
| Last updated in NPPES | Sep 14, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | CSW004491 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 58 |
|---|---|
| Services billed | 102 across 5 procedure codes |
| Paid by Medicare | $5,805 |
Education and affiliations
| Graduation year | 2001 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Gateway Community Service BoardBrunswick, GA · 38 clinicians
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