PAMELA BRAXTON (LCSW) – Social Worker, NPI 1710356324

PAMELA BRAXTON (LCSW) is a healthcare provider. based in College park, Georgia. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. CSW007051 (GA). The NPI Number for PAMELA BRAXTON (LCSW) is 1710356324

Main info

Female
Sole Proprietor
12 Years Of Experience
Name
PAMELA BRAXTON (LCSW)
NPI
1710356324
Phone
(404) 762-9190
Address
1919 JOHN WESLEY AVE
Enumeration Date
24 September 2015
Last Update Date
23 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
1951889906
Professional Enrollment ID
I20260130002384
Address ID
GA303373605CO1919XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,046 CLINICAL SOCIAL WORKER in GA

Provider Addresses for PAMELA BRAXTON (LCSW)

  • 1919 JOHN WESLEY AVE

    COLLEGE PARK, GA 303373605

    Phone: (404) 762-9190

    Fax: (404) 762-9101

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260130002384IClinical Social WorkerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30337)

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Reviews

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Frequently asked questions

How do I look up PAMELA BRAXTON (LCSW) by NPI?
Use NPI 1710356324 when you need to reference PAMELA BRAXTON (LCSW) in forms, claims, or directories.
Is PAMELA BRAXTON (LCSW)'s NPI currently valid?
The extract we use shows PAMELA BRAXTON (LCSW) as active.
What field does PAMELA BRAXTON (LCSW) work in?
You can think of PAMELA BRAXTON (LCSW) as practicing within Social Worker. Clinical services aligned with this taxonomy classification.
What location metadata exists for PAMELA BRAXTON (LCSW)?
The page summarizes College Park, Georgia for PAMELA BRAXTON (LCSW); expand the address list for detail.
Is PAMELA BRAXTON (LCSW) a real provider?
This page reflects official NPPES data for NPI 1710356324. Always confirm identity and privileges with the practice and licensing boards.

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