Physician Compare National (NPI:1003043266)

HEALTHCARE PROVIDER: JESSICA BEATTY LCSW

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1003043266
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4284965229
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20191007000734
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BEATTY
	Individual professional last name
Provider First Name	JESSICA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1159 BROWNSTOWN RD
	Group Practice or individual's line 1 address
City	LARIMER
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	156479704
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7245152696
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y