Individual provider Active NPI

Roma Raheja, LCSW

  • Clinical Social Worker
  • Marietta, GA
National Provider Identifier
1093032476
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003646 Issued in GA
Practice address
1860 Sandy Plains Rd Ste 2042333
Marietta, GA 30066-7833
Phone
(404) 594-1393
NPI assigned
Apr 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 003646 GA Primary

Addresses

Primary practice location

1860 Sandy Plains Rd Ste 2042333
Marietta, GA 30066-7833

Mailing address

1860 Sandy Plans Rd
Suite 204, PMB 2333
Marietta, GA 30066-7864
Phone (404) 594-1393

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100811000251 GA Practitioner - Clinical Social Worker 3274667365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

3372 Peachtree Rd NE
Suite 115
Atlanta, GA 30326-1963
Phone (866) 630-0966

5887 Glenridge Dr
Suite 230
Sandy Springs, GA 30328-9929
Phone (404) 594-1393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003646GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Sep 7, 2022 Accepting new patients
Monarch Counseling Services LLC Clinical CurrentSince Oct 1, 2025 Accepting new patients

Locations

3348 Peachtree Rd NE
Ste 700
Atlanta, GA 30326
Phone (720) 712-7900

5887 Glenridge Dr
Ste 230
Sandy Springs, GA 30328
Phone (404) 594-1393

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1093032476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 SANDY PLANS RD",
            "address_2": "SUITE 204, PMB 2333",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300667864",
            "telephone_number": "404-594-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 SANDY PLAINS RD STE 2042333",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300667833",
            "telephone_number": "404-594-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHEJA",
        "first_name": "ROMA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-26",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "003646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.