Individual provider Active NPI

Jerri Lynn Frost, LCSW

  • Clinical Social Worker
  • Brooklet, GA
National Provider Identifier
1194865378
Registry record updated Mar 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW 003122 Issued in GA
Practice address
110 Parker Ave S
Brooklet, GA 30415-8208
Phone
(706) 490-2555
Fax
(912) 823-4232
NPI assigned
Feb 7, 2007
Last updated
Mar 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2025

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 CSW 003122 GA Primary

Addresses

Primary practice location

110 Parker Ave S
Brooklet, GA 30415-8208

Mailing address

PO Box 2
Brooklet, GA 30415-0002
Phone (706) 490-2555

Other identifiers 4

IdentifierTypeStateIssuer
312364857AMedicaidGA
312364857BMedicaidGA
10045584OtherGAAMERIGROUP
312364857CMedicaidGA

Other names 1

  • Ms. Jerri L Frost Professional name

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
I20150716000788 GA Practitioner - Clinical Social Worker 8022321371 Reassigns benefits to 1 organization
Practice locations: Brooklet, GA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

711 Zitterour Dr
Rincon, GA 31326-9269
Phone (706) 490-2555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW 003122GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Circle of Hands Counseling, LLC Clinical CurrentSince Mar 15, 2017 Accepting new patients

Locations

110 Parker Ave S
Brooklet, GA 30415
Phone (706) 490-2555

711 Zitterour Dr
Rincon, GA 31326
Phone (706) 490-2555

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741478400000",
    "number": "1194865378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "BROOKLET",
            "state": "GA",
            "postal_code": "304150002",
            "telephone_number": "706-490-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PARKER AVE S",
            "city": "BROOKLET",
            "state": "GA",
            "postal_code": "304158208",
            "telephone_number": "706-490-2555",
            "fax_number": "912-823-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROST",
        "first_name": "JERRI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2025-03-09",
        "certification_date": "2025-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW 003122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312364857A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312364857B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10045584",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312364857C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERRI",
            "last_name": "FROST",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklet, GA

Sources for this page

Verify at the official NPI Registry.