Physician Compare National (NPI:1801932512)

HEALTHCARE PROVIDER: KATHLEEN MENOCAL 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	1801932512
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7618981150
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060203000309
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MENOCAL
	Individual professional last name
Provider First Name	KATHLEEN
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	CSW
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1990
	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	1025 W NEW YORK AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 4
	Group Practice or individual's line 2 address
City	DELAND
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	327205184
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3867386400
	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