Active NPI
Cevonna Frazier Fine, LCSW
- Clinical Social Worker
- Gainesville, GA
National Provider Identifier
1376892885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW005731
- Practice address
- 977 Enota Ave NE
Gainesville, GA 30501-1700 - Phone
- (470) 290-8363
- NPI assigned
- Aug 30, 2012
- Sex
- Female
- 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 | CSW005731 | GA | Primary |
Addresses
Primary practice location
977 Enota Ave NE
Gainesville, GA 30501-1700
Mailing address
2800 Scenic Dr Ste 4
Blue Ridge, GA 30513-1414
Phone (762) 210-8069
Other names 1
- Ms. Cevonna Marie Frazier
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P007568 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Well Therapies, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Gainesville, GA
- NPI 1467268557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1376892885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 SCENIC DR STE 4",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "305131414",
"telephone_number": "762-210-8069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "977 ENOTA AVE NE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305011700",
"telephone_number": "470-290-8363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINE",
"first_name": "CEVONNA",
"middle_name": "FRAZIER",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-30",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW005731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CEVONNA",
"last_name": "FRAZIER",
"middle_name": "MARIE",
"prefix": "MS.",
"credential": "MSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.