Physician Compare National (NPI:1558499970)

HEALTHCARE PROVIDER: PAMELA MARIE MCCARTHY 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	1558499970
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0547357527
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071108000041
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MCCARTHY
	Individual professional last name
Provider First Name	PAMELA
	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 LOUISVILLE SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1999
	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	95 BANKLICK RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE H
	Group Practice or individual's line 2 address
City	WILDER
	Group Practice or individual's city
State	KY
	Group Practice or individual's state
Zip Code	410767502
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8597500810
	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