Individual provider Active NPI

Michael K Frech, LCSW

  • Clinical Social Worker
  • Lawrenceville, GA
National Provider Identifier
1093076374
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW003126 Issued in GA
Practice address
175 Gwinnett Dr
Lawrenceville, GA 30046-8444
Phone
(678) 990-5949
NPI assigned
Jun 4, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

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 CSW003126 GA Primary

Addresses

Primary practice location

175 Gwinnett Dr
Lawrenceville, GA 30046-8444

Mailing address

175 Gwinnett Dr
P.O. Box 687
Lawrenceville, GA 30046-8444
Phone (678) 990-5949

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
I20131122000386 GA Practitioner - Clinical Social Worker 6901032929 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Professionals of Georgia, LLCGroup PAC ID 2567731482, 28 clinicians

Practice addresses (Care Compare)

301 Green St NW
Suite 100D
Gainesville, GA 30501-3361
Phone (678) 263-3080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Georgia LLC Clinical CurrentSince Sep 1, 2023 Accepting new patients
Personal Recovery Network LLC CurrentSince Sep 20, 2024 Accepting new patients
Psychiatric Professionals of Georgia, LLC CurrentSince Nov 21, 2024 Accepting new patients

Locations

5965 Parkway North Blvd
Ste A
Cumming, GA 30040
Phone (470) 239-4846

2722 N Decatur Rd
Decatur, GA 30033
Phone (404) 292-0626

301 Green St NW
Ste 100D
Gainesville, GA 30501
Phone (470) 306-0096

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

1325 Satellite Blvd NW
Ste 400
Suwanee, GA 30024
Phone (470) 713-0414

263 E May St
Winder, GA 30680
Phone (706) 449-2884

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

Interoperability endpoints

  • Direct secure messaging: michael.frech.1@25899.direct.athenahealth.com

Organizations & group practices 3

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": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1093076374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 GWINNETT DR",
            "address_2": "P.O. BOX 687",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468444",
            "telephone_number": "678-990-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 GWINNETT DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468444",
            "telephone_number": "678-990-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRECH",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.