| Doctor Name: | JANELLE ELIZABETH LUCZKA |
| NPI Number: | 1093957052 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | CSW004426 |
| Business Practice Address: | 4331 Thurmond Tanner Pkwy Flowery Branch, GA - 30542 |
| Business Phone Number: | 6785135700 |
| Business Fax Number: | |
| Mailing Address: | 915 Interstate Ridge Dr, Suite G GAINESVILLE |
| State: | GA |
| Postal Code: | 305017076 |
| Phone Number: | 6782072900 |
| Fax Number: | 6782072904 |
| NPI Enumeration Date: | 04/06/2009 |
| NPI Last Update Date: | 09/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CSW004426 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |