Pamela Braxton, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

CSW007051 Issued in GA

Practice address

1919 John Wesley Ave
College Park, GA 30337-3605

Phone

(404) 762-9190

Fax

(404) 762-9101

NPI assigned

Sep 24, 2015

Last updated

Jan 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/odysseycounseling/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Odyssey Family Counseling Center Corporation

  • Mental Health Counselor
  • College Park, GA
  • NPI 1689604605
  Medicare reassignment NPD
• Golden Day Counseling and Consulting, LLC

  • Clinical Social Worker
  • Douglasville, GA
  • NPI 1376240309
  NPD (past) Authorized official

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1710356324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 JOHN WESLEY AVE",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303373605",
            "telephone_number": "404-762-9190",
            "fax_number": "404-762-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 JOHN WESLEY AVE",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303373605",
            "telephone_number": "404-762-9190",
            "fax_number": "404-762-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAXTON",
        "first_name": "PAMELA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "CSW007051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kira S Bradley, CACII
• William Brady, DO
• Braintrust LLC
• Iyea Brandy
• Crystal Brantley
• Bridge the Journey, LLC
• Bridges of Success, Inc.
• Brighter Path & Associates, Inc.
• Sherri Marie Broadwater, MD
• Antoine Brooks, D.C.

• Social Worker in College Park, GA
• Providers in College Park, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.