Physician Compare National (NPI:1790797850)

HEALTHCARE PROVIDER: MARK EDMUND LACHAPELLE MSW

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

Individual Professional Information
NPI	1790797850
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7113961095
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20061121000171
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LACHAPELLE
	Individual professional last name
Provider First Name	MARK
	Individual professional first name
Provider Middle Name	E
	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	1981
	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	6465 WAYZATA BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 355
	Group Practice or individual's line 2 address
City	ST LOUIS PARK
	Group Practice or individual's city
State	MN
	Group Practice or individual's state
Zip Code	554261728
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9529288474
	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	M