Physician Compare National (NPI:1164596136)

HEALTHCARE PROVIDER: KATHERINE MILAN VIRAK L.C.S.W.

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

Individual Professional Information
NPI	1164596136
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4981880622
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110516000168
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	VIRAK
	Individual professional last name
Provider First Name	KATHERINE
	Individual professional first name
Provider Middle Name	MILAN
	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	1984
	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	1133 JEFFERSON GREEN CIR
	Group Practice or individual's line 1 address
City	MIDLOTHIAN
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	231134300
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8047171111
	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