Provider Demographics
NPI:1255319257
Name:PLUTA, CLAUDIA DEMME (MSW)
Entity type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:DEMME
Last Name:PLUTA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:CLAUDIA
Other - Middle Name:DEMME
Other - Last Name:SCHWAGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1872 MONTREAL RD
Mailing Address - Street 2:
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-5709
Mailing Address - Country:US
Mailing Address - Phone:770-496-9400
Mailing Address - Fax:770-496-9495
Practice Address - Street 1:3400 OLD MILTON PKWY
Practice Address - Street 2:SUITE 535
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-3707
Practice Address - Country:US
Practice Address - Phone:678-566-6995
Practice Address - Fax:678-566-0346
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0024671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA80BBFDTMedicare ID - Type Unspecified
GAP05859Medicare UPIN