Physician Compare National (NPI:1821348871)

HEALTHCARE PROVIDER: PAMELA D SIEMON 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	1821348871
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3072868181
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180710002504
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SIEMON
	Individual professional last name
Provider First Name	PAMELA
	Individual professional first name
Provider Middle Name	D
	Individual professional middle 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	2013
	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	51 DEPOT ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 207
	Group Practice or individual's line 2 address
City	WATERTOWN
	Group Practice or individual's city
State	CT
	Group Practice or individual's state
Zip Code	067952667
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y