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Physician Compare National (NPI:1487903241)

HEALTHCARE PROVIDER: JENNIFER LEE VAN LUE 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 1487903241
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3375798390
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20130223000121
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name VANLUE
Individual professional last name
Provider First Name JENNIFER
Individual professional first name
Provider Middle Name L
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 CHICAGO, PRITZKER SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 2008
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 1085 TUNNEL RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 3
Group Practice or individual's line 2 address
City ASHEVILLE
Group Practice or individual's city
State NC
Group Practice or individual's state
Zip Code 288052039
Group Practice or individual's zip code (9 digits when available)
Phone Number 8284070122
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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