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Physician Compare National (NPI:1053581355)

HEALTHCARE PROVIDER: MARY ANGELA ALDRICH LISW-CP, 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 1053581355
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0042404584
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20101028001429
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name ALDRICH
Individual professional last name
Provider First Name MARY
Individual professional first name
Provider Middle Name A
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Individual professional's medical school
Graduation Year 2000
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 454 S ANDERSON RD
Group Practice or individual's line 1 address
Line 2 Street Address BTC 569
Group Practice or individual's line 2 address
City ROCK HILL
Group Practice or individual's city
State SC
Group Practice or individual's state
Zip Code 297303328
Group Practice or individual's zip code (9 digits when available)
Phone Number 8033249808
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

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