Stacy W Froelich, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CSW006215 Issued in GA

Practice address

299 Cooper Rd Ste a
Loganville, GA 30052-2579

Phone

(678) 643-6782

Fax

(770) 962-0088

NPI assigned

Apr 17, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Mind Renewed LLC

  • Community/Behavioral Health Agency
  • Loganville, GA
  • NPI 1932616109
  Medicare reassignment NPD Authorized official
• Transitional Family Sevices

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1972946218
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1033539093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 COOPER RD STE A",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300522579",
            "telephone_number": "678-643-6782",
            "fax_number": "770-962-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 COOPER RD STE A",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300522579",
            "telephone_number": "678-643-6782",
            "fax_number": "770-962-0088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2302 Parklake Dr NE",
            "address_2": "Suite 350",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303452896",
            "country_code": "US",
            "telephone_number": "770-621-0469",
            "fax_number": "770-621-0466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FROELICH",
        "first_name": "STACY",
        "middle_name": "W",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "CSW006215",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Franke, OTR/L
• Julie Masters Franklin, PTA
• Fresenius Medical Care Loganville, LLC
• Adam Frey
• Alvin Lewis Frey, O.D.
• Angel Mawuena Fugar, CPNP-PC
• Omar Kevin Fuller
• Antoinette Gabriel
• Dana Marie Gallegos, PT
• Kendra Vanice Gamble-Webb, M.D.

• Mental Health Counselor in Loganville, GA
• Providers in Loganville, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.