Active NPI
Rosita B Airall, LCSW
- Clinical Social Worker
- Snellville, GA
National Provider Identifier
1861675225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW001766
- Practice address
- 2140 McGee Rd Ste C140F
Snellville, GA 30078-2975 - Phone
- (678) 887-4500
- Fax
- (770) 828-0693
- NPI assigned
- Dec 7, 2007
- Last updated
- Mar 6, 2009
- 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 | CSW001766 | GA | Primary |
Addresses
Primary practice location
2140 McGee Rd Ste C140F
Snellville, GA 30078-2975
Mailing address
4420 Sirrocco LN SW
Lilburn, GA 30047-7434
Phone (678) 887-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000923381B | Medicaid | GA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW001766 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236297600000",
"number": "1861675225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4420 SIRROCCO LN SW",
"city": "LILBURN",
"state": "GA",
"postal_code": "300477434",
"telephone_number": "678-887-4500",
"fax_number": "770-828-0693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 MCGEE RD STE C140F",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300782975",
"telephone_number": "678-887-4500",
"fax_number": "770-828-0693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AIRALL",
"first_name": "ROSITA",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-07",
"last_updated": "2009-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW001766",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000923381B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.