Physician Compare National (NPI:1770638785)

HEALTHCARE PROVIDER: MARY LEE ZETTER LCSW-C

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

Individual Professional Information
NPI	1770638785
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9638338965
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160315001000
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ZETTER
	Individual professional last name
Provider First Name	MARY LEE
	Individual professional first 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	1976
	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	610 HARBOR DR
	Group Practice or individual's line 1 address
City	ANNAPOLIS
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	214033823
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4102688309
	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