Physician Compare National (NPI:1770817660)

HEALTHCARE PROVIDER: KATIJEAN THORPE 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	1770817660
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3971640939
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20121214000189
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	THORPE
	Individual professional last name
Provider First Name	KATIJEAN
	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	2005
	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	502 S STILL RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 102
	Group Practice or individual's line 2 address
City	SEQUIM
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	983823578
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y