Individual provider Active NPI

Pamela Ellen Flatow, LCSW

  • Clinical Social Worker
  • Lawrenceville, GA
National Provider Identifier
1841375656
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW001163 Issued in GA
Practice address
5435 Sugarloaf Pkwy
Suite 1104
Lawrenceville, GA 30043-7831
Phone
(770) 662-6900
Fax
(678) 985-9485
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 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
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
I20141013001336 GA Practitioner - Clinical Social Worker 6507086642 Reassigns benefits to 1 organization
Practice locations: Lawrenceville, GA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5435 Sugarloaf Pkwy
Lawrenceville, GA 30043-5700
Phone (770) 856-6204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW001163GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pamela E, Flatow, LCSW, LLC Clinical CurrentSince Sep 29, 2014 Accepting new patients
Kboggspc Clinical PastSince Jun 2, 2013 Accepting new patients

Locations

5435 Sugarloaf Pkwy
Ste 1102
Lawrenceville, GA 30043
Phone (678) 358-6200

5435 Sugarloaf Pkwy
Ste 1104
Lawrenceville, GA 30043
Phone (678) 358-6200

Organizations & group practices 2

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841375656",
    "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": {
        "last_name": "FLATOW",
        "first_name": "PAMELA",
        "middle_name": "ELLEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW001163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.