Organization Active NPI

Pamela E, Flatow, LCSW, LLC

  • Clinical Social Worker
  • Lawrenceville, GA
National Provider Identifier
1578769899
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW001163 Issued in GA
Legal business name
PAMELA E, FLATOW, LCSW, LLC
Practice address
5435 Sugarloaf Pkwy
Suite 1104
Lawrenceville, GA 30043-7831
Phone
(770) 662-6900
Fax
(678) 985-9485
NPI assigned
Jun 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Pamela E Flatow, LCSWNPI 1841375656
Title
President
Phone
(770) 662-6900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CSW001163 GA Primary

Addresses

Primary practice location

5435 Sugarloaf Pkwy
Suite 1104
Lawrenceville, GA 30043-7831

Mailing address

5435 Sugarloaf Pkwy
Suite 1104
Lawrenceville, GA 30043-7831
Phone (770) 662-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141013001566 GA Part B Supplier - Clinic/Group Practice 1456571504 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrenceville, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578769899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 SUGARLOAF PKWY",
            "address_2": "SUITE 1104",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437831",
            "telephone_number": "770-662-6900",
            "fax_number": "678-985-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 SUGARLOAF PKWY",
            "address_2": "SUITE 1104",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437831",
            "telephone_number": "770-662-6900",
            "fax_number": "678-985-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA E, FLATOW, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLATOW",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-662-6900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW001163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.