Physician Compare National (NPI:1356475339)

HEALTHCARE PROVIDER: SALLY ELIZABETH RHOADS L.C.S.W., B.C.D.

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

Individual Professional Information
NPI	1356475339
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3274607684
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080804000154
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RHOADS
	Individual professional last name
Provider First Name	SALLY
	Individual professional first name
Provider Middle Name	E
	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 KENTUCKY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1973
	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	121 PROSPEROUS PL
	Group Practice or individual's line 1 address
Line 2 Street Address	4A
	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	405091828
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M