Physician Compare National (NPI:1033152202)

HEALTHCARE PROVIDER: JUDITH ANN BICKMEYER MSW

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

Individual Professional Information
NPI	1033152202
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0143565861
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20181226002420
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BICKMEYER
	Individual professional last name
Provider First Name	JUDITH
	Individual professional first name
Provider Middle Name	ANN
	Individual professional middle 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	1986
	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	104 /2 N MARIETTA ST
	Group Practice or individual's line 1 address
City	SAINT CLAIRSVILLE
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	439501255
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M