Active NPI
Pamela Saxena, M.S.W. L.C.S.W
- Clinical Social Worker
- Atlanta, GA
National Provider Identifier
1659788313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW005995
- Practice address
- 1075 Zonolite Rd NE Ste 1a
Atlanta, GA 30306-2013 - Phone
- (404) 478-9890
- NPI assigned
- Jul 15, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05576800 | NJ | |
| Clinical Social Worker | 1041C0700X | CSW005995 | GA | Primary |
Addresses
Primary practice location
1075 Zonolite Rd NE Ste 1a
Atlanta, GA 30306-2013
Mailing address
160 Eagle Rock Way
Montclair, NJ 07042-1623
Other practice location 1
160 Eagle Rock Way
Montclair, NJ 07042-1623
Phone (201) 259-2046
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 |
|---|---|---|---|
| CSW005995 | GA | MD | Clinical Social Worker |
| 44SC05576800 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intown Counseling & Wellness | 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.
-
- Professional Counselor
- Atlanta, GA
- NPI 1528406634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560902400000",
"number": "1659788313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 EAGLE ROCK WAY",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070421623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 ZONOLITE RD NE STE 1A",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303062013",
"telephone_number": "404-478-9890"
}
],
"practiceLocations": [
{
"address_1": "160 Eagle Rock Way",
"address_purpose": "LOCATION",
"city": "Montclair",
"state": "NJ",
"postal_code": "070421623",
"country_code": "US",
"telephone_number": "201-259-2046",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAXENA",
"first_name": "PAMELA",
"credential": "M.S.W. L.C.S.W",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2019-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05576800",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW005995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.