| Pamela E, Flatow, Lcsw, Llc | |
|
5435 Sugarloaf Pkwy Suite 1104 Lawrenceville GA 30043-7831 | |
| (770) 662-6900 | |
| (678) 985-9485 |
| Full Name | Pamela E, Flatow, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5435 Sugarloaf Pkwy, Lawrenceville, Georgia |
| Authorized Official Name and Position | Pamela E Flatow (PRESIDENT) |
| Authorized Official Contact | 7706626900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela E, Flatow, Lcsw, Llc 5435 Sugarloaf Pkwy Suite 1104 Lawrenceville GA 30043-7831 Ph: (770) 662-6900 | Pamela E, Flatow, Lcsw, Llc 5435 Sugarloaf Pkwy Suite 1104 Lawrenceville GA 30043-7831 Ph: (770) 662-6900 |
| NPI Number | 1578769899 |
|---|---|
| Provider Enumeration Date | 06/24/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1456571504 |
|---|---|
| Medicare Enrollment ID | O20141013001566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578769899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW001163 (Georgia) | Primary |
| Provider Name | Pamela E Flatow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841375656 PECOS PAC ID: 6507086642 Enrollment ID: I20141013001336 |
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