Healthcare Provider Details

I. General information

NPI: 1437709086
Provider Name (Legal Business Name): JOSEPH ALLEN PFEFFER LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2019
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 BUFORD HWY NE STE 100
BROOKHAVEN GA
30329-2146
US

IV. Provider business mailing address

2801 BUFORD HWY NE STE 100
BROOKHAVEN GA
30329-2146
US

V. Phone/Fax

Practice location:
  • Phone: 678-820-7830
  • Fax: 678-373-0339
Mailing address:
  • Phone: 678-820-7830
  • Fax: 678-373-0339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW006660
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: