Physician Compare National (NPI:1669731873)

HEALTHCARE PROVIDER: DAVID EUGENE STUCKEY MSW, 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	1669731873
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4587827639
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120530000074
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	STUCKEY
	Individual professional last name
Provider First Name	DAVID
	Individual professional first name
Provider Middle Name	EUGENE
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1978
	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	100 CHESTNUT ST
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	ABILENE
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	796021440
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3256768963
	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