Provider Demographics
NPI:1821065814
Name:STONE, GEORGIE A (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:GEORGIE
Middle Name:A
Last Name:STONE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 SAMARITAN'S RIDGE RD. GEORGIE STONE, LCSW CAPSTONE
Mailing Address - Street 2:
Mailing Address - City:ELKIN
Mailing Address - State:NC
Mailing Address - Zip Code:28621
Mailing Address - Country:US
Mailing Address - Phone:336-467-0489
Mailing Address - Fax:888-507-3159
Practice Address - Street 1:525 SAMARITAN'S RIDGE RD. CAPSTONE WELLNESS CENTER
Practice Address - Street 2:
Practice Address - City:ELKIN
Practice Address - State:NC
Practice Address - Zip Code:28621
Practice Address - Country:US
Practice Address - Phone:336-467-0489
Practice Address - Fax:888-507-3159
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0023911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCQ67017H832Medicaid
NC2063649OtherCIGNA BEHAVIORAL HEALTH
NC6003628Medicaid
NC1245UOtherBCBS OF NC
NCN/AOtherCBHA
NCQ67017H832Medicaid