Individual provider Active NPI

Rosetta A Friday, LCSW

  • Clinical Social Worker
  • Lawrenceville, GA
National Provider Identifier
1437669041
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW006815 Issued in GA
Practice address
2975 Clipper CT
Lawrenceville, GA 30044-2656
Phone
(513) 484-2326
NPI assigned
Oct 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW006815 GA Primary
Social Worker 104100000X S.1451139 OH

Addresses

Primary practice location

2975 Clipper CT
Lawrenceville, GA 30044-2656

Mailing address

2975 Clipper CT
Lawrenceville, GA 30044-2656
Phone (513) 484-2326

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
I20191210000339 GA Practitioner - Clinical Social Worker 3779916572 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

1838 Old Norcross Rd
BLDG F Suite 400
Lawrenceville, GA 30044-8804
Phone (678) 213-2194

6290 Abbotts Bridge Rd
Suite 304
Duluth, GA 30097-1750
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1451139OHMDSocial Worker
CSW006815GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Behavioral Health CurrentSince Jul 1, 2023 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Aug 3, 2021 Accepting new patients
Positive Impact Health Centers Inc CurrentSince Mar 6, 2021 Accepting new patients
View Point Health CurrentSince Oct 5, 2019 Accepting new patients
Thrive Counseling LLC CurrentSince Feb 10, 2025 Accepting new patients
Positive Impact Health Centers, Inc. CurrentSince Mar 6, 2021 Accepting new patients
Personal Recovery Network LLC CurrentSince Oct 2, 2021 Accepting new patients

Locations

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

523 Church St
Decatur, GA 30030
Phone (404) 589-9040

3075 Breckinridge Blvd
Ste 415
Duluth, GA 30096
Phone (770) 962-8396

3350 Breckinridge Blvd
Ste 200
Duluth, GA 30096
Phone (770) 962-8396

6290 Abbotts Bridge Rd
Ste 304
Johns Creek, GA 30097
Phone (678) 621-8948

175 Gwinnett Dr
Lawrenceville, GA 30046
Phone (678) 209-2394

1838 Old Norcross Rd
Ste 400
Lawrenceville, GA 30044
Phone (470) 795-7695

5030 Georgia Belle Ct
Ste 2036
Norcross, GA 30093
Phone (678) 209-2745

4864 Jimmy Carter Blvd
Ste 205
Norcross, GA 30093
Phone (770) 676-5763

8800 Roswell Rd
Ste A135
Sandy Springs, GA 30350
Phone (617) 395-5806

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

Interoperability endpoints

  • Direct secure messaging: georgiabehavioralhealthprofessionals.rosettafriday@124220.advancedmd-direct.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/6123adb2-d0d2-485a-9dcf-5fba87efb2ef/

Organizations & group practices 7

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": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1437669041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 CLIPPER CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442656",
            "telephone_number": "513-484-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 CLIPPER CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442656",
            "telephone_number": "513-484-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIDAY",
        "first_name": "ROSETTA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-09",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006815",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1451139",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.