Physician Compare National (NPI:1700807971)

HEALTHCARE PROVIDER: DIANE MUNRO SEYMOUR LSCSW, SAP, CADC1

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

Individual Professional Information
NPI	1700807971
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1557455169
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070913000185
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SEYMOUR
	Individual professional last name
Provider First Name	DIANE
	Individual professional first name
Provider Middle Name	MUNRO
	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 KANSAS SCHOOL OF MED (KC/WICH/SAL)
	Individual professional's medical school
Graduation Year	1994
	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	1047 S PINE ST
	Group Practice or individual's line 1 address
City	OTTAWA
	Group Practice or individual's city
State	KS
	Group Practice or individual's state
Zip Code	660673242
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7852420500
	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