Physician Compare National (NPI:1699790956)

HEALTHCARE PROVIDER: OLIVIA S. BEAUCHAIN 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	1699790956
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1254344559
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060802000317
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BEAUCHAIN
	Individual professional last name
Provider First Name	OLIVIA
	Individual professional first name
Provider Middle Name	S
	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	1995
	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	898 SCALES RD
	Group Practice or individual's line 1 address
City	SUWANEE
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	300241830
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7702714712
	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