Physician Compare National (NPI:1659316024)

HEALTHCARE PROVIDER: JILL FISCHER-PETERS L.C.S.W.

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

Individual Professional Information
NPI	1659316024
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0345258141
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060405000106
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FISCHER PETERS
	Individual professional last name
Provider First Name	JILL
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	CSW
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1998
	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	13800 PARK BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 206
	Group Practice or individual's line 2 address
City	SEMINOLE
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	337763439
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y