Physician Compare National (NPI:1235229170)

HEALTHCARE PROVIDER: SHARON ZAFFARESE-DIPPOLD PHD, LCSW-R, LCSW, L

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

Individual Professional Information
NPI	1235229170
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0749248896
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170921002175
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ZAFFARESE DIPPOLD
	Individual professional last name
Provider First Name	SHARON
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	CSW
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2017
	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	145 LAFAYETTE ST
	Group Practice or individual's line 1 address
Line 2 Street Address	APT 1
	Group Practice or individual's line 2 address
City	SAINT MARYS
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	158571327
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y