Active NPI
Terrell Reginaldo Frazier, LCSW, MAC, CADC
- Clinical Social Worker
- Stockbridge, GA
National Provider Identifier
1194092593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1213 Jernigan CT
Stockbridge, GA 30281-2489 - Phone
- (404) 964-6792
- NPI assigned
- Nov 30, 2011
- Last updated
- Jan 10, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1213 Jernigan CT
Stockbridge, GA 30281-2489
Mailing address
1213 Jernigan CT
Stockbridge, GA 30281-2489
Phone (404) 964-6792
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1194092593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 JERNIGAN CT",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302812489",
"telephone_number": "404-964-6792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 JERNIGAN CT",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302812489",
"telephone_number": "404-964-6792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "TERRELL",
"middle_name": "REGINALDO",
"name_prefix": "Mr.",
"credential": "LCSW, MAC, CADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-30",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
- Christine Franklin
- Cleveland Sylvester Franklin Sr., RPH
- Tavara Deanna Franklin, LPC
- Ray Michael Frankowiak, CPO
- Kiki Smalley Frazier, MS,RD,LD
- Freedom EMS (Freedom EMS LLC)
- Freedom Health Systems International, LLC (Freedom Chiropractic & Wellness Center)
- Freedom Health Systems LLC (Freedom Health Systems)
- Destiny Freeman
- Madison Chayse Freeman
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.