Physician Compare National (NPI:1346657111)

HEALTHCARE PROVIDER: PHYLLIS LEIGH 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	1346657111
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1951698406
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160927001046
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LEIGH
	Individual professional last name
Provider First Name	PHYLLIS
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1998
	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	961 BEASLEY ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 170
	Group Practice or individual's line 2 address
City	LEXINGTON
	Group Practice or individual's city
State	KY
	Group Practice or individual's state
Zip Code	405094120
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y