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Physician Compare National (NPI:1477580710)

HEALTHCARE PROVIDER: FELICITY MYERS 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 1477580710
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3779768973
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20110504000137
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MYERS
Individual professional last name
Provider First Name FELICITY
Individual professional first name
Provider Middle Name N
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 1996
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 68 CHAPMAN ST
Group Practice or individual's line 1 address
City DAMARISCOTTA
Group Practice or individual's city
State ME
Group Practice or individual's state
Zip Code 045434614
Group Practice or individual's zip code (9 digits when available)
Phone Number 2075926802
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

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