Physician Compare National (NPI:1033590658)

HEALTHCARE PROVIDER: LOUANNA ADAMS 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	1033590658
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7517267701
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20151119001511
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ADAMS
	Individual professional last name
Provider First Name	LOUANNA
	Individual professional first name
Provider Middle Name	FERICIA
	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	2004
	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	4204 SWEETWATER PKWY
	Group Practice or individual's line 1 address
City	ELLENWOOD
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	302941554
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y