Physician Compare National (NPI:1366755969)

HEALTHCARE PROVIDER: ABIGAIL RENEE DUPREE LMSW

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

Individual Professional Information
NPI	1366755969
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2668787607
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150819009068
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DUPREE
	Individual professional last name
Provider First Name	ABIGAIL
	Individual professional first name
Provider Middle Name	RENEE
	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	2005
	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	31580 SCHOOLCRAFT RD
	Group Practice or individual's line 1 address
City	LIVONIA
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	481501805
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y